Cosmetic. (4) Any care provided or reimbursed by other sources.
Cosmetic. In lieu of the benefits provided above, benefits shall be payable for a contact lens or contact lenses when prescribed for cosmetic purposes by a participating provider or a non-participating optometrist or ophthalmologist. If prescribed by a non-participating optometrist or ophthalmologist, benefits shall be payable in accordance with the contact lenses fees as described in the reimbursement schedule under Paragraph (a)(ii) of this Article III. If prescribed by a participating provider, an allowance of one hundred twenty dollars ($120.00) will be made in lieu of all other benefits.
Cosmetic. 5. Any portion of a charge for a service in excess of the reasonable and customary charge (the charge usually made by the provider when there is no insurance, not to exceed the prevailing charge in the area for vision care of a comparable nature, by a person of similar training and experience).
Cosmetic. Services performed to improve appearance or to correct a disease, defect or condition that does not cause a significant problem in body function.
Cosmetic. The use of MMP Inhibitors for treatment of skin deterioration.
Cosmetic. (i) Proof-of-concept applicatioxx xx MMP Inhibitors for reducing skin deterioration ; and (ii) development of a prototype product for associated skin conditions that may be either an over-the-counter or prescription application.
Cosmetic. Response – A non-automated acknowledgement, recorded in the ITSM Tool that the notification of an incident or request has been received, listing any notable action(s) taken to move forward in resolving the issue. Metric Description Timeliness - The percent of tickets responded to within the defined time interval after notification of an incident or request has been received. The calculation is the total number of tickets responded to on or before defined time interval during the applicable Reporting Period divided by the total number of tickets created during the applicable Reporting Period, expressed as a percentage. Metric Inclusions All incoming service incidents and requests (tickets) during the Reporting Period. Metric Exclusions Duplicate and cancelled tickets. Calculation % Timeliness = (Total number of tickets responded to within the defined time interval / Total number of tickets within the month)) * 100 Hours/Days of Measurement 24 hours x 7 days in Reporting Period Reporting Period Monthly Reporting Tools / Data Source(s) ITSM Tool Reporting Format/s Preferred Format: Excel Report Summary: Header to include Total Number of Tickets, Number of Tickets that Missed the defined time interval, SLT, SLM, Actual SL, SLT Achieved [Yes/No], SLM Achieved [Yes/No] Detailed Inclusion Report: Detail to include Ticket Number, Type of Service, Brief Description of Issue, Ticket Create Date/Time, Date/Time of First Response, Time to Respond (hh:mm), Reason Interval was not Met Detailed Exclusion Report: Ticket Number, Brief Description of Issue, Ticket Create Date/Time, Date/Time of First Response, Time to Respond (hh:mm), Reason for Exclusion Service Level Credit 5% of Monthly Maintenance and Operational Support Costs Time to Resolve Service Level Reference SLT SLM Earn Back Effective Date Time to Resolve 100% 100% 90 Days 90 days after contract start-date Definition The time intervals to resolve are defined in the following table: Ticket Priority Incidents Requests Received during Service Hours Receive outside Service Hours Received at any time 1: Critical 2 Hours 2.5 Hours 1 Day 2: Major 4 Hour 4.5 Hours 1 Day 3: Minor 24 Hours 24 Hours 3 Days 4: Cosmetic 72 Hours 72 Hours The time interval to resolve is the amount of time from when the incident or request is recorded in the ITSM Tool until the ticket is marked resolved in the ITSM Tool. Metric Description Timeliness – Percentage of reported/discovered incidents and requests resolved within the defined time ...
Cosmetic. Services, drugs or supplies that are primarily intended to alter, improve or enhance your appearance. Covered benefits Eligible dental services that meet the requirements for coverage under the terms of this plan. Dental emergency Any dental condition that: • Occurs unexpectedly • Requires immediate diagnosis and treatment in order to stabilize the condition • Is characterized by symptoms such as severe pain and bleeding Dental emergency services Services and supplies given by a dental provider to treat a dental emergency. Dental provider Any individual legally qualified to provide dental services or supplies. Dentist A legally qualified dentist licensed to do the dental work he or she performs. Effective date of coverage The date your coverage begins under this booklet-certificate as noted in our records. Eligible dental services The benefits, subject to varying cost shares, covered in this plan. These are: • Listed and described in the schedule of benefits. • Not listed as an exception or exclusion in these sections: – What are your eligible dental services? – What rules and limits apply to dental care?
