121 A Specialist is a Doctor who focuses on a specific area of medicine or group of patients to diagnose, manage, prevent, or treat certain types of symptoms and conditions. A non - Physician Specialist is a Provider who has added training in a specific area of health care. Specialty Drugs Drugs that typically need close supervision and checking of their effect on the patient by a medical professional. These drugs often need special handling, such as temperature - controlled packaging and overnight delivery, and are often not available at ret ail pharmacies. They may be administered in many forms including, but not limited to, injectable, infused, oral and inhaled. Subscriber An employee of the Employer who is eligible for and has enrolled in the Plan. Surprise Billing Claim Please refer to the “Consolidated Appropriations Act of 2021 Notice” at the front of this Booklet for details. Urgent Care Center A licensed health care Facility that is separate from a Hospital and whose main purpose is giving immediate, short - term medical care, without an appointment, for urgent care. Utilization Review Evaluation of the necessity, quality, effectiveness, or efficiency of medical or behavioral health services, Prescription Drugs (as set forth in the section Prescription Drugs Administered by a Medical Provider), procedures, and/or facilities.