Transplant Reinsurance. Professional and institutional costs related to organ transplantation shall be the financial responsibility of HMO, as set forth in the Operations Manual. PPG shall refer Members to HMO’s designated regional transplant centers to qualify for payment of the organ transplant costs under this Program. In the event PPG refers a transplant case to a facility that is not an HMO-designated regional transplant center, those claims shall not be eligible for payment under this Program.
Appears in 3 contracts
Samples: Group Provider Services Agreement (Prospect Medical Holdings Inc), Provider Services Agreement (Prospect Medical Holdings Inc), Provider Services Agreement (Prospect Medical Holdings Inc)
Transplant Reinsurance. Professional and institutional costs tests related to organ transplantation shall be the financial responsibility of HMO, as set forth in the Operations Manual. PPG shall refer Members to HMO’s designated regional transplant centers to qualify for payment of the organ transplant costs under this Program. In the event PPG refers a transplant case to a facility that is not an HMO-designated regional transplant center, those claims shall not be eligible for payment under this Program.
Appears in 1 contract
Samples: Group Provider Services Agreement (Prospect Medical Holdings Inc)
Transplant Reinsurance. Professional and institutional costs related to organ transplantation shall be the financial responsibility of HMO, HMO as set forth in the Operations Manual. PPG shall refer Members to HMO’s designated regional transplant centers to qualify quality for payment of the organ transplant costs under this Program. In the event PPG refers a transplant case to a facility that is not an HMO-designated regional transplant center, those claims shall not be eligible for payment under this Program.
Appears in 1 contract
