Specialist Services definition
Examples of Specialist Services in a sentence
A [Member] can be Referred for Specialist Services by a [Member's] Primary Care Provider.
A [Member] can be Referred for Specialist Services by a [Member's] Primary Care Physician.
Benefits will be provided for Specialist Services Medical Care provided in the office by a Participating Specialist.
Claims for covered Emergency Services or authorized Specialist Services should be sent to us within 90 days of the end of treatment.
Listed procedures which require a Dentist to provide Specialist Services, and are referred by the assigned Contract Dentist, must be authorized by Delta Dental.
In addition to the core mandate outlined in section 8.2, the Specialist Services Committee will fulfill the specific mandate outlined in the Specialists Subsidiary Agreement.
A [Network] Provider who is a doctor specializing in family practice, general practice, internal medicine, [obstetrics/gynecology (for pre and post-natal care, birth and treatment of diseases and hygiene] or pediatrics who supervises, coordinates, arranges and provides initial care and basic medical services to a [Member]; [initiates a [Member]'s [Referral for Specialist Services;]] and is responsible for maintaining continuity of patient care.
A [Network] Provider who is a doctor specializing in family practice, general practice, internal medicine, [obstetrics/gynecology (for pre and post-natal care, birth and treatment of the diseases and hygiene of females,] or pediatrics who supervises, coordinates, arranges and provides initial care and basic medical services to a [Member]; [initiates a [Member]'s [Referral for Specialist Services;]] and is responsible for maintaining continuity of patient care.
If the Specialist Services Committee cannot reach a consensus decision with respect to any matter that is referred to it under section 5.6(d) and that requires a determination, the Physician Services Committee will determine a process for resolving the dispute, which may include referral to the Adjudicator or the Adjudication Committee or to the MSC.
The members appointed by the Government will include at least one of the Government appointees to each of the General Practice Services Committee and the Specialist Services Committee.