Health Services Contract definition

Health Services Contract is the group or individual contract, applicable to the Member, which sets forth the Benefit Program and the Covered Services to which the Member is entitled, as well as the Member’s Copayment obligation.
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Examples of Health Services Contract in a sentence

  • The IME Award an Administrative or Health Services Contract business process utilizes requirements, advanced planning documents, requests for information, request for proposal and sole source documents.

  • The IME Manage Administrative or Health Services Contract business process receives the contract award data set, implements contract monitoring procedures, and updates contract if needed, and continues to monitor the terms of the contract throughout its duration.

  • Prepayment FeesThe monthly dues (premiums) for a Subscriber and any enrolled dependents are indicated in the Group Health Services Contract.

  • Except as otherwise provided in the Member’s Health Services Contract and Evidence of Coverage, Covered Services must generally be referred and authorized in conformity with Blue Shield’s utilization management programs.

  • This includes medical and medication bills unpaid by Indian Health Services, Contract Health Services, Private Insurance and any Medicaid.

  • Prepayment Fees‌The monthly dues (premiums) for a Subscriber and any enrolled dependents are indicated in the Group Health Services Contract.

  • Except as otherwise provided in the Member's Health Services Contract and Evidence of Coverage, Covered Services must generally be referred and authorized in conformity with Blue Shield's utilization management programs.

  • Montalvo, 205 A.3d 274, 286 In addressing this claim, the PCRA court concluded that while the claim had arguable merit, trial counsel had a reasonable basis for entering into the stipulation regarding the Rule 404(b) evidence based on his experience in the No. 527-14 trial where trial counsel stipulated to the convictions in order to avoid live testimony.

  • Submitting Claims (Invoice) for Services Please submit all claims (invoice) for payment to:Behavioral Health Services Contract Support, (BHSCS) (P531K) P O Box 85524San Diego, CA 92186-5524Fax to: (619) 563-2730, Attn: Lead Fiscal AnalystOverpayment In the event of overpayments, excess funds must be returned or offset against future claim payments.

  • The Medical Program Administrator serves as the senior Health Services Contract Monitoring clinician for the Department.

Related to Health Services Contract

  • Mental health services means interventions designed to provide the maximum reduction of mental disability and restoration or maintenance of functioning consistent with the requirements for learning, development and enhanced self-sufficiency. Services shall include:

  • Health and Human Services Commission or “HHSC” means the administrative agency established under Chapter 531, Texas Government Code, or its designee.

  • Professional sports services contract means an agreement under which an individual is employed, or agrees to render services, as a player on a professional sports team, with a professional sports organization, or as a professional athlete.