A requirement imposed in the contract of insurance by the Insurer, and which must be literally complied with unless it is waived by the Insurer.
A requirement imposed in the contract of insurance by the Insurer, and which must be literally complied with unless it is waived by the Insurer.
This phrase usually refers to physicians, hospitals or other health care providers who are considered non-participants in an insurance plan. Depending on an individual’s health insurance plan, expenses incurred by services provided by out-of-plan health professionals may not be covered, or covered only in part by an individual’s insurance company.