Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers and health plan providers the process used to authorize or deny health care services under the plan. Blue Shield has completed documentation of this process ("Utilization Review"), as required un- der Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review process, call the Customer Service Department at the telephone number indicated on your Identification Card.
Appears in 8 contracts
Sources: Medicare Supplement Plan Agreement, Medicare Supplement Plan F Extra, Medicare Supplement Plan K
Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process used to authorize or deny health care services under un- der the plan. Blue Shield has completed documentation documen- tation of this process ("Utilization Review"), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review processpro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.
Appears in 8 contracts
Sources: Medicare Supplement Plan G, Medicare Supplement Plan N, Medicare Supplement Plan A
Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers and health plan providers the process used to authorize or deny health care services under the plan. Blue Shield has completed documentation of this process ("“Utilization Review"”), as required un- der Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review process, call the Customer Service Department at the telephone number indicated on your Identification Card.
Appears in 5 contracts
Sources: Evidence of Coverage and Health Service Agreement, Medicare Supplement Plan G, Evidence of Coverage and Health Service Agreement
Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process used to authorize or deny health care services under Services un- der the plan. Blue Shield has completed documentation docu- mentation of this process ("Utilization Review"), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review processpro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.
Appears in 4 contracts
Sources: Medicare Supplement Plan, Medicare Supplement Plan, Medicare Supplement Plan
Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process used to authorize or deny health care services under un- der the plan. Blue Shield has completed documentation docu- mentation of this process ("Utilization Review"), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review processpro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.
Appears in 3 contracts
Sources: Medicare Supplement Plan, Medicare Supplement Plan, Medicare Supplement Agreement
Utilization Review. NOTE: :The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process used to authorize or deny health care services under Services un- der the plan. Blue Shield has completed documentation docu- mentation of this process ("Utilization Review"), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review processpro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.
Appears in 3 contracts
Sources: Medicare Supplement Plan, Medicare Supplement Plan, Medicare Supplement Plan C
Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process used to authorize or deny health care services Services under the plan. Blue Shield has completed documentation of this process ("Utilization Review"“utilization”), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review process, call the Customer Service Department at the telephone number indicated on your Identification Card.
Appears in 2 contracts
Sources: Health Service Agreement, Medicare Supplement Plan Evidence of Coverage
Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination determi- nation made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process pro- cess used to authorize or deny health care services ser- vices under the plan. Blue Shield has completed documentation of this process ("Utilization Uti- lization Review"), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing de- scribing this Utilization Review process, call the Customer Service Department at the telephone tele- phone number indicated on your Identification Card.
Appears in 2 contracts
Utilization Review. NOTE: :The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process used to authorize or deny health care services under un- der the plan. Blue Shield has completed documentation docu- mentation of this process ("Utilization Review"), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review processpro- cess, call the Customer Service Department at the telephone number indicated on your Identification Card.
Appears in 2 contracts
Sources: Medicare Supplement Plan D, Medicare Supplement Plan
Utilization Review. NOTE: :The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process used to authorize or deny health care services Services under the plan. Blue Shield has completed documentation of this process ("Utilization Review"“utilization”), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review process, call the Customer Service Department at the telephone number indicated on your Identification Card.
Appears in 2 contracts
Sources: Service Agreement, Health Service Agreement
Utilization Review. NOTE: :The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process used to authorize or deny health care services Services under the plan. Blue Shield has completed documentation of this process ("Utilization Review"), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review process, call the Customer Service Department at the telephone number indicated on your Identification Card.
Appears in 2 contracts
Sources: Medicare Supplement Plan Agreement, Medicare Supplement Plan
Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process used to authorize or deny health care services Services under the plan. Blue Shield has completed documentation of this process ("Utilization Review"), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review process, call the Customer Service Department at the telephone number indicated on your Identification Card.
Appears in 1 contract
Sources: Health Service Agreement
Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process used to authorize or deny health care services Services under the plan. Blue Shield has completed documentation of this process ("Utilization Review"“utilization”), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review process, call the Customer Service Department at the telephone number indicated on your Identification identification Card.
Appears in 1 contract
Utilization Review. NOTE: :The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process used to authorize or deny health care services under un- der the plan. Blue Shield has completed documentation docu- mentation of this process ("Utilization Review"), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review process, call the Customer Service Department at the telephone number indicated on your Identification Card.pro-
Appears in 1 contract
Sources: Medicare Supplement Plan
Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process used to authorize or deny health care services under the plan. Blue Shield has completed documentation of this process ("Utilization Review"), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review process, call the Customer Service Department at the telephone number indicated on your Identification Card.
Appears in 1 contract
Sources: Medicare Supplement Agreement
Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers and health plan providers the process used to authorize or deny health care services Services under the plan. Blue Shield has completed documentation of this process ("Utilization Review"), as required un- der Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review process, call the Customer Service Department at the telephone number indicated on your Identification Card.
Appears in 1 contract
Sources: Medicare Supplement Plan Agreement
Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process pro- cess used to authorize or deny health care services Ser- vices under the plan. Blue Shield has completed documentation of this process ("Utilization ReviewRe- view"), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review process, call the Customer Service Department De- partment at the telephone number indicated on your Identification Card.
Appears in 1 contract
Sources: Medicare Supplement Plan A
Utilization Review. NOTE: :The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers Subscribers and health plan providers the process used to authorize or deny health care services Services under the plan. Blue Shield has completed documentation of this process ("Utilization Review"), as required un- der under Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review process, call the Customer Service Department at the telephone number indicated on your Identification Card.the
Appears in 1 contract
Sources: Medicare Supplement Plan K
Utilization Review. NOTE: The Utilization Review process does not apply to Services that are not covered by Blue Shield because of a coverage determination made by Medicare. State law requires that health plans disclose to Sub- scribers and health plan providers the process used to authorize or deny health care services under the plan. Blue Shield has completed documentation of this process ("Utilization Review"), as required un- der Section 1363.5 of the California Health and Safety Code. To request a copy of the document describing this Utilization Review process, call the Customer Service Department at the telephone tele- phone number indicated on your Identification Card.
Appears in 1 contract
Sources: Medicare Supplement Plan