Common use of Diagnostic Criteria Clause in Contracts

Diagnostic Criteria. All provider claims are restricted to claims for beneficiaries with an ICD-9CM diagnosis code of 290 through 290.43; 293 through 298.9; 300 through 301.9; 302.7, 306.51 through 312.4; 312.81 through 314.9; 315.3, 315.31, 315.5, 315.8, and 315.9.

Appears in 2 contracts

Samples: Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.)

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Diagnostic Criteria. a. All provider claims are restricted to claims for beneficiaries Enrollees with an ICD-9CM diagnosis code of 290 through 290.43; 293 through 298.9; 300 through 301.9; 302.7, 306.51 through 312.4; 312.81 through 314.9; 315.3, 315.31, 315.5, 315.8, and 315.9.

Appears in 2 contracts

Samples: Ahca Contract No. Far009 (Wellcare Health Plans, Inc.), Ahca Contract No. Far001 (Wellcare Health Plans, Inc.)

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Diagnostic Criteria. All provider claims are restricted to claims for beneficiaries Enrollees with an ICD-9CM diagnosis code of 290 through 290.43; 293 through 298.9; 300 through 301.9; 302.7, 306.51 through 312.4; 312.81 through 314.9; 315.3, 315.31, 315.5, 315.8, and 315.9.

Appears in 1 contract

Samples: Ahca Contract

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