Common use of Managed Care Program Clause in Contracts

Managed Care Program. HPN's Managed Care Program, using the services of professional medical peer review committees, utilization review committees, and/or the Medical Director, determines whether services and supplies are Medically Necessary. HPN’s Managed Care Program helps direct the patient to the most appropriate setting to provide healthcare in a cost-effective manner.

Appears in 6 contracts

Sources: Agreement of Coverage, Agreement of Coverage, Agreement of Coverage

Managed Care Program. HPN's Managed Care Program, using the services of professional medical peer review committees, utilization review committees, and/or the Medical Director, determines whether services and supplies are Medically Necessary. HPN’s Managed Care Program helps direct the patient care to the most appropriate setting to provide healthcare in a cost-effective manner.

Appears in 1 contract

Sources: Group Enrollment Agreement

Managed Care Program. HPN's Managed Care Program, using the services of professional medical peer review committees, utilization review committees, and/or the Medical Director, determines whether services and supplies are Medically Necessary. HPN’s Managed Care Program helps direct the patient to the most appropriate setting to provide healthcare in a cost-effective manner.to

Appears in 1 contract

Sources: Individual Agreement of Coverage