Common use of Diagnosis Clause in Contracts

Diagnosis. If a third party such as an insurance company is covering or reimbursing you for all or part of your treatment cost, I will be required to provide a diagnosis on your receipt. Coverage is often based on the insurance company’s evaluation of “medical necessity.” Diagnoses are technical terms that describe the nature of your problems as well as whether they are short-term or long-term concerns. If I do use a diagnosis, I will discuss it with you. All diagnoses come from a book titled the DSM-V. Not all diagnoses meet “medical necessity” as defined by your insurance company and may not be a covered service under your insurance plan.

Diagnosis. If a third party such as an insurance company is covering or reimbursing you for all or part of your treatment cost, I will be required to provide a diagnosis on your receipt. Coverage is often based on the insurance company’s evaluation of “medical necessity.” Diagnoses are technical terms that describe the nature of your problems as well as whether they are short-term or long-term concerns. If I do use a diagnosis, I will discuss it with you. All diagnoses come from a book titled the DSM-V. Not all diagnoses meet “medical necessity” as defined by your insurance company and may not be a covered service under your insurance plan.