Common use of Within the HPN Service Area Clause in Contracts

Within the HPN Service Area. If an Injury or Illness requires Emergency Services, the Member should notify HPN as soon as reasonably possible after the onset of the emergency. HPN will review the use of the emergency room Retrospectively for appropriateness and to determine if the Covered Services received were Medically Necessary. Benefits for such services are payable if the services are determined to have been Emergency Services, as defined in this AOC.

Appears in 11 contracts

Samples: Agreement of Coverage, Agreement of Coverage, Agreement of Coverage

AutoNDA by SimpleDocs

Within the HPN Service Area. If an Injury or Illness requires Emergency Services, the Member should notify HPN as soon as reasonably possible after the onset of the emergency. HPN will review the use of the emergency room Retrospectively for appropriateness and to determine if the Covered Services services received were Medically Necessary. Benefits for such services are payable if the services are determined to have been be Emergency Services, Services as defined in this AOCEOC.

Appears in 1 contract

Samples: Group Enrollment Agreement

AutoNDA by SimpleDocs
Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!