Utilization Management. State law requires that health plans disclose to Members and health plan providers the process used to authorize or deny health care services under the plan. Blue Shield has completed documentation of this process as required under Section 1363.5 of the California Health and Safety Code. The document describing Blue Shield’s Utilization Management Program is available online at xxx.xxxxxxxxxxxx.xxx or Members may call the Customer Service Department at the number provided on the back page of this Evidence of Coverage to request a copy.
Appears in 10 contracts
Samples: Blue Shield Minimum Coverage Ppo Plan Agreement, Blue Shield Platinum 90 Ppo Ai an Plan Agreement, Blue Shield Gold 80 Ppo Ai an Plan Agreement
