Your Right to Choose Your Own Provider. Your relationship with your provider is very important. This agreement is intended to encourage the relationship between you and your provider. However, we are not obligated to provide you with a provider. Also, we are not liable for anything your provider does or does not do. We are not a health care provider. We do not practice medicine, dentistry, furnish health care, or make medical judgments. We review claims for payment to determine if the claims: • were properly authorized; • constitute medically necessary services for the purpose of benefit payment; and • are covered health care services under this agreement. The determination by us of whether a service is medically necessary is solely for the purpose of claims payment and the administration of health benefits under this agreement. It is not an exercise of professional medical judgment.
Appears in 23 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Your Right to Choose Your Own Provider. Your relationship with your provider is very important. This agreement is intended to encourage the relationship between you and your provider. However, we are not obligated to provide you with a provider. Also, we are not liable for anything your provider does or does not do. We are not a health care provider. We do not practice medicine, dentistry, furnish health care, or make medical judgments. We review claims for payment to determine if the claims: • were properly authorized; • constitute medically necessary services for the purpose of benefit payment; and • are covered health care services under this agreement. The determination by us of whether a service is medically necessary is solely for the purpose of claims payment and the administration of health benefits under this agreement. It is not an exercise of professional medical judgment.
Appears in 12 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Your Right to Choose Your Own Provider. Your relationship with your provider is very important. This agreement is intended to encourage the relationship between you and your provider. However, we are not obligated to provide you with a provider. Also, we are not liable for anything your provider does or does not do. We are not a health care provider. We do not practice medicine, dentistry, furnish health care, or make medical judgments. We review claims for payment to determine if the claims: • were properly authorized; • constitute medically necessary services for the purpose of benefit payment; and • are covered health care services under this agreement. The determination by us of whether a service is medically necessary is solely for the purpose of claims payment and the administration of health benefits under this agreement. It is not an exercise of professional medical judgment.
Appears in 12 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Your Right to Choose Your Own Provider. Your relationship with your provider is very important. This agreement is intended to encourage the relationship between you and your provider. However, we are not obligated to provide you with a provider. Also, we are not liable for anything your provider does or does not do. We are not a health care provider. We do not practice medicine, dentistry, furnish health care, or make medical judgments. We review claims for payment to determine if the claims: • were properly authorized; • constitute medically necessary services for the purpose of benefit payment; and • are covered health care services under this agreement. The determination by us of whether a service is medically necessary is solely for the purpose of claims payment and the administration of health benefits under this agreement. It is not an exercise of professional medical judgment.
Appears in 11 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Your Right to Choose Your Own Provider. Your relationship with your provider is very important. This agreement is intended to encourage the relationship between you and your provider. However, we are not neither obligated to provide you with a provider. Also, nor are we are not liable for anything your provider does or does not do. We are not a health care provider. We provider and we do not practice medicine, dentistry, furnish health care, or make medical judgments. We review claims for payment to determine if whether the claims: • claims were properly authorized; • , constitute medically necessary services for the purpose of benefit payment; , and • are covered health care services under this agreement. The determination by us of whether a service is medically necessary is solely for the purpose of claims payment and the administration of health benefits under this agreement. It is , and not an exercise of professional medical judgment.
Appears in 3 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement