INTRODUCTION TO YOUR SUBSCRIBER AGREEMENT Sample Clauses

The 'Introduction to Your Subscriber Agreement' clause serves to provide an overview and context for the agreement between the service provider and the subscriber. It typically outlines the purpose of the agreement, identifies the parties involved, and may summarize the types of services or products covered. This introductory section helps set expectations and ensures that both parties understand the scope and intent of the contract, thereby promoting clarity and reducing the likelihood of misunderstandings.
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INTRODUCTION TO YOUR SUBSCRIBER AGREEMENT. Thank you for choosing Blue Cross & Blue Shield of Rhode Island (BCBSRI) for your healthcare coverage. We appreciate the trust you’ve placed in us and want to help you make the most of your health plan. In this Subscriber Agreement (agreement), you’ll find valuable information about your • how your health coverage works; • how BCBSRI processes claims for the health services you receive; • your rights and responsibilities as a BCBSRI member; • BCBSRI’s rights and responsibilities; and • tools and programs to help you stay healthy and save money. We encourage you to read this agreement to learn about all the advantages of being a BCBSRI member. Below are some helpful tips on how to find what you need in this agreement. • As a member, you are responsible for understanding the benefits to which you are entitled under this agreement and the rules you must follow to receive those benefits. • The Table of Contents will help you find the order of the sections as they appear in the agreement. • The Summary of Benefits, included in this agreement, shows the amount you pay out of your own pocket. • Important contact information, such as, telephone numbers, addresses, and websites are located at the end of this document. • Some words and phrases used in this agreement are in italics. This means that the words or phrases have a special meaning as they relate to your healthcare coverage. Please see Section 8 for definitions of these words. • When we use the words “we,” “us,” and “our,” we are referring to BCBSRI. When we use the words “you” and “your” we are referring to the enrolled subscriber and/or member. These words are also defined in the Glossary. • Many sections of this document are related to other sections. You may need to reference more than one section to find the information you need.
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INTRODUCTION TO YOUR SUBSCRIBER AGREEMENT. 11 SECTION 2: ELIGIBILITY 15 SECTION 3: COVERED HEALTHCARE SERVICES 21 SECTION 4: EXCLUSIONS 49 SECTION 5: REQUESTS FOR AUTHORIZATION, DENIALS, COMPLAINTS, AND APPEALS 59 SECTION 6: CLAIM FILING AND PROVIDER PAYMENTS 67 SECTION 7: COORDINATION OF BENEFITS AND SUBROGATION 74 SECTION 8: GLOSSARY 80 SECTION 9: CONTACT INFORMATION 88 SECTION 10: NOTICES AND DISCLOSURES 90 SUMMARY OF MEDICAL BENEFITS
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INTRODUCTION TO YOUR SUBSCRIBER AGREEMENT. Thank you for choosing Blue Cross & Blue Shield of Rhode Island (BCBSRI) for your dental coverage. We appreciate the trust you’ve placed in us and want to help you make the most of your dental plan. In this Subscriber Agreement (agreement), you’ll find valuable information about your • how your dental coverage works; • how BCBSRI processes claims for the dental services you receive; • your rights and responsibilities as a BCBSRI member; • BCBSRI’s rights and responsibilities. We encourage you to read this agreement to learn about all the advantages of being a BCBSRI member. Below are some helpful tips on how to find what you need in this agreement. • As a member, you are responsible for understanding the benefits to which you are entitled under this agreement and the rules you must follow to receive those benefits. • The Table of Contents will help you find the order of the sections as they appear in the agreement. • The Summary of Benefits, included in this agreement, shows the amount you pay out of your own pocket.
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INTRODUCTION TO YOUR SUBSCRIBER AGREEMENT. 10 SECTION 2: ELIGIBILITY 14 SECTION 3: COVERED HEALTHCARE SERVICES 20 SECTION 4: EXCLUSIONS 44 SECTION 5: REQUESTS FOR AUTHORIZATION, DENIALS, COMPLAINTS, AND APPEALS 53 SECTION 6: CLAIM FILING AND PROVIDER PAYMENTS 61 SECTION 7: COORDINATION OF BENEFITS AND SUBROGATION 66 SECTION 8: GLOSSARY 72 SECTION 9: CONTACT INFORMATION 80 SECTION 10: NOTICES AND DISCLOSURES 82
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INTRODUCTION TO YOUR SUBSCRIBER AGREEMENT. 15 SECTION 2: ELIGIBILITY 19 SECTION 3: COVERED HEALTHCARE SERVICES 25 SECTION 4: EXCLUSIONS 50 SECTION 5: REQUESTS FOR AUTHORIZATION, DENIALS, COMPLAINTS, AND APPEALS 60
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Related to INTRODUCTION TO YOUR SUBSCRIBER AGREEMENT

  • Subscriber Data Subscriber will timely supply Netgateway, in a form acceptable to Netgateway, with all data necessary for Netgateway to perform the ongoing services to be provided hereunder. It is the sole responsibility of Subscriber to insure the completeness and accuracy of such data.

  • Mobile Subscriber Information You authorize your wireless carrier to disclose information about your account, such as subscriber status, payment method and device details, if available, to support identity verification, fraud avoidance and other uses in support of transactions for the duration of your business relationship with us. This information may also be shared with other companies to support your transactions with us and for identity verification and fraud avoidance purposes.

  • Lost Shareholder Due Diligence Searches and Servicing The Trust hereby acknowledges that USBFS has an arrangement with an outside vendor to conduct lost shareholder searches required by Rule 17Ad-17 under the Securities Exchange Act of 1934, as amended. Costs associated with such searches will be passed through to the Trust as an out-of-pocket expense in accordance with the fee schedule set forth in Exhibit C hereto. If a shareholder remains lost and the shareholder’s account unresolved after completion of the mandatory Rule 17Ad-17 search, the Trust hereby authorizes vendor to enter, at its discretion, into fee sharing arrangements with the lost shareholder (or such lost shareholder’s representative or executor) to conduct a more in-depth search in order to locate the lost shareholder before the shareholder’s assets escheat to the applicable state. The Trust hereby acknowledges that USBFS is not a party to these arrangements and does not receive any revenue sharing or other fees relating to these arrangements. Furthermore, the Trust hereby acknowledges that vendor may receive up to 35% of the lost shareholder’s assets as compensation for its efforts in locating the lost shareholder.