The Pathway Group HMO network provides a large selection of providers along with a “care and cost finder.” This tool helps employees compare quality ratings and costs of physicians and other providers. Many procedures are included and additional pharmacy information can also be vi...
1.17 Provider Manual: refers to the manuals developed by Blue Shield which set forth the operational rules and procedures applicable to the Group and Group Providers. The Provider Manual will include the HMO Provider Manual, the HMO Benefit Guidelines and the Blue Shield Medical Policy Manual.8...
This sample of key UK scientists and grant providers acknowledge the importance of basic blue skies research. Yet the current evaluation process often requires that scientists predict their likely findings and estimate short-term impact, which does not permit freedom of research direction. There is a...