Referral Services definition

Referral Services means Capitation Services which are rendered to Members through a process established by PARTICIPATING MEDICAL GROUP.
Referral Services means the process of seeking appropriate treatment in which a health worker at one level of the health system, having insufficient resources to manage a condition, seeks the assistance of an adequately resourced facility;
Referral Services means those Acute Care Services provided to a Member by a non-participating hospital which, due to the specialized nature of the service or facility required, cannot be provided by the Plan's participating hospitals. Referral Services shall be considered Eligible Hospital Services if such services are specifically authorized by the Plan. Referral Services shall mean the lesser of: 1. The amount of the negotiated charges; or 2. The amount of the Reasonable and Customary charges; but in any event Referral Services, to the extent they are Eligible Hospital Services, shall be limited to an average of $2,000 per day of each period of continuous hospital confinement. Operating room charges are excluded from the calculation of the average daily limit. Referral Services shall not include physician or surgeon charges, other professional fees, or charges for take-home items or durable medical devices.

Examples of Referral Services in a sentence

  • To maintain financial reserves adequate to cover all risks assumed by PARTICIPATING MEDICAL GROUP hereunder, including, but not limited to, unanticipated claims for Referral Services that are the potential responsibility of PARTICIPATING MEDICAL GROUP.

  • To accept the monthly Capitation payment from BLUE CROSS as payment in full for Capitation Services (including all Referral Services) provided or arranged hereunder, and not to seek additional payments or compensation from Members for Covered Medical Services.

  • Screening to determine if a consumer has a history of injecting drug use is the responsibility of Access, Assessment and Referral Services or approved PROVIDER.

  • That all Covered Medical Services, (including consultation and Referral Services), ambulatory care services, diagnostic laboratory, diagnostic imaging and therapeutic radiology services, home health services and preventive health services, shall be available to Members a minimum of forty (40) hours per week, except for weeks including holidays.

  • The purpose of this Contract is to establish the terms and conditions by which DSHS and other Purchasers obtain Interpreter Referral Services from the Contractor.


More Definitions of Referral Services

Referral Services means the referral services provided by UNI on ▇▇▇.▇▇▇▇▇▇▇.▇▇▇ where UNI markets loan offers from one or more lenders to consumers and generates and displays specific loan offers from Bank, and other bank partners using the “Powered By Upstart” platform services, for consumers to review and select. The Referral Services shall provide Bank with an additional channel for potentially acquiring Loan customers.
Referral Services means the provision of functionality within the System and relevant Solution(s) (and where relevant other EMIS Systems) that allows for referrals of services from one System user to another System user (most commonly healthcare providers). Examples of Referral Services are CPCS referrals, GPCPCS referrals and hospital trust referrals such as smoking cessation.
Referral Services means providing information to consumers about services not available through the AMHD or within the service area, or information to persons not eligible for AMHD services.
Referral Services means in the ordinary course of Provider’s own business, Providers’ identification and referral of customers for Devices and services to Smart Start, and the other services, functions, and tasks described in this Master Services Agreement or Documentation.
Referral Services means introduction of potential clients to the Service Provider in exchange for a Referral Fee. “Services” means the services set out in Item 4 of the Schedule which will be provided by the Service Provider. “Referrer” means the company/person/partnership specified in Item 1 of Schedule
Referral Services. This will include referrals for basic living services to include but not limited to housing, education/GED education services, food shelf/clothing closet services, basic survival kits (soap, toothbrush/toothpaste, deodorant) and other family support services.
Referral Services means those government or charitable servicers which are of benefit to the individual as outlined in the act