Common use of Specialty Care Provider Services Clause in Contracts

Specialty Care Provider Services. Unless otherwise indicated in Section II. or Section IV., Preauthorization is required for specialty care and specialists that are not Group Health-designated Specialists and are not providing care at facilities owned and operated by Group Health.

Specialty Care Provider Services. Unless otherwise indicated in Section II. or Section IV., Preauthorization is required for in the Network specialty care and specialists that are not Group Health-designated Specialists and are not providing care at facilities owned and operated by Group Health. In the event specialty services are not available from a Network Provider, Preauthorization is required and Community Provider services will be covered at the Network level.