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Agmt94 Managed Health Network
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Agmt94 Managed Health Network
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Last modified
7/5/2005 2:32:18 PM
Creation date
11/4/2004 2:05:29 PM
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Template:
Agreement
Contractor Name
Managed Health Network formerly Occupational Health Services
RMP File Number
304
Date
7/14/1994
Reso Ref
12379 12687 13007
Box
5858
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<br />clinical social worker, marriage, family and child counselor, <br />alcohol and drug counselor, tax professional, legal professional, <br />financial professional, childcare coordinator, or other type of <br />health care provider, having a written agreement with OHS, or an <br />independent practice association or medical group which contracts <br />with OHS, to provide Covered Services to Members. certain <br />counselors providing childcare, eldercare and financial counseling <br />are employed by OHS. <br /> <br />Prior Authorization: Approval for coverage from OHS prior to the <br />Member obtaining Covered Services. Requests for Prior Authorization <br />will be denied if not Medically/Psychologically Necessary, if in <br />conflict with OHS' medical policies, or otherwise not covered under <br />this plan. <br /> <br />Session: Any in-person or telephone consultation with a <br />Participating Provider for Covered Services under this plan. <br /> <br />Subscriber: An Employee enrolled under this plan who is responsible <br />for paYment of CopaYments and any applicable prepayment fees to OHS <br />and whose employment or other status, except family dependency, is <br />the basis for eligibility under this plan. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />- 18 - <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />",,---, ",----,--,-. -,----".., ,"'[""--.-' " , <br />
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