Common use of Utilization Review Clause in Contracts

Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services un- der the plan. Blue Shield has completed documen- tation of this process ("Utilization Review"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 8 contracts

Samples: Medicare Supplement Plan N, Medicare Supplement Plan G, Medicare Supplement Plan A

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Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers Sub- scribers and health plan providers the process used to authorize or deny health care services un- der under the plan. Blue Shield has completed documen- tation documentation of this process ("Utilization Review"), as required under un- der Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cessprocess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 7 contracts

Samples: Medicare Supplement Plan F Extra, Medicare Supplement Plan K, Medicare Supplement High Deductible Plan F

Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers Sub- scribers and health plan providers the process used to authorize or deny health care services un- der under the plan. Blue Shield has completed documen- tation documentation of this process ("Utilization Review"), as required under un- der Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cessprocess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 5 contracts

Samples: Evidence of Coverage and Health Service Agreement, Evidence of Coverage and Health Service Agreement, Medicare Supplement Plan G

Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services un- der the plan. Blue Shield has completed documen- tation docu- mentation of this process ("Utilization Review"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 3 contracts

Samples: Medicare Supplement Plan, Medicare Supplement Plan, Medicare Supplement Agreement

Utilization Review. NOTE: :The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services Services un- der the plan. Blue Shield has completed documen- tation docu- mentation of this process ("Utilization Review"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 3 contracts

Samples: Medicare Supplement Plan, Medicare Supplement Plan, Medicare Supplement Plan C

Utilization Review. NOTE: :The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services un- der the plan. Blue Shield has completed documen- tation docu- mentation of this process ("Utilization Review"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 2 contracts

Samples: Medicare Supplement Plan D, Medicare Supplement Plan

Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services Services un- der the plan. Blue Shield has completed documen- tation docu- mentation of this process ("Utilization Review"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 2 contracts

Samples: Medicare Supplement Plan, Medicare Supplement Plan

Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination determi- nation made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process pro- cess used to authorize or deny health care services un- der ser- vices under the plan. Blue Shield has completed documen- tation documentation of this process ("Utilization Uti- lization Review"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing de- scribing this Utilization Review pro- cessprocess, call the Customer Service Department at the telephone tele- phone number indicated on your Identification Card.

Appears in 2 contracts

Samples: Medicare Supplement Plan, Medicare Supplement Plan

Utilization Review. NOTE: :The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services un- der Services under the plan. Blue Shield has completed documen- tation documentation of this process ("Utilization Review"“utilization”), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cessprocess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 1 contract

Samples: Health Service Agreement

Utilization Review. NOTE: :The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services un- der Services under the plan. Blue Shield has completed documen- tation documentation of this process ("Utilization Review"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cessprocess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 1 contract

Samples: Medicare Supplement Plan

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Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services un- der under the plan. Blue Shield has completed documen- tation documentation of this process ("Utilization Review"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cessprocess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 1 contract

Samples: Medicare Supplement Agreement

Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers Sub- scribers and health plan providers the process used to authorize or deny health care services un- der under the plan. Blue Shield has completed documen- tation documentation of this process ("Utilization Review"), as required under un- der Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cessprocess, call the Customer Service Department at the telephone tele- phone number indicated on your Identification Card.

Appears in 1 contract

Samples: Medicare Supplement Plan

Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services un- der Services under the plan. Blue Shield has completed documen- tation documentation of this process ("Utilization Review"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cessprocess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 1 contract

Samples: Health Service Agreement

Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process pro- cess used to authorize or deny health care services un- der Ser- vices under the plan. Blue Shield has completed documen- tation documentation of this process ("Utilization ReviewRe- view"), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cessprocess, call the Customer Service Department De- partment at the telephone number indicated on your Identification Card.

Appears in 1 contract

Samples: Medicare Supplement Plan A

Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services un- der Services under the plan. Blue Shield has completed documen- tation documentation of this process ("Utilization Review"“utilization”), as required under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review pro- cessprocess, call the Customer Service Department at the telephone number indicated on your Identification Card.

Appears in 1 contract

Samples: Medicare Supplement Plan Evidence of Coverage

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