Laboratory Services. Covered Services include prescribed diagnostic clinical and anatomic pathological laboratory services and materials when authorized by a Member's PCP and HPN’s Managed Care Program.
Laboratory Services. 4.6.14.1 The Contractor shall require all network laboratories to automatically report the Glomerular Filtration Rate (GFR) on any serum creatinine tests ordered by In-Network Providers.
Laboratory Services. The MCO must ensure that Network reference laboratory services are of sufficient size and scope to meet Members' non-emergency and emergency needs and the access requirements in Section 8.1.
Laboratory Services. Charges for laboratory Services.
Laboratory Services. CONTRACTOR shall provide Laboratory Services for all medically necessary and appropriate diagnostic laboratory procedures in accordance with the requirements set forth below:
5.35.1. All laboratory work shall be performed at a local hospital or accredited laboratory nearest the Facility. Results shall be telephoned immediately to the requesting physician and a written report shall follow within twenty-four (24) hours.
5.35.2. Non-urgent laboratory services shall be in compliance with all applicable requirements of Chapter 483, F.S., and the ACA Standards as described herein. If CONTRACTOR provides any in-house laboratory testing, it must also be in compliance with the appropriate provisions of Florida law. If only waived tests are conducted, CONTRACTOR must obtain a Certificate of Exemption from the Agency for Healthcare Administration.
5.35.3. Services shall include, but not be limited to:
5.35.3.1. Laboratory supplies and required equipment (i.e., centrifuges).
5.35.3.2. Pick-up and delivery on a daily basis, or as needed Monday through Friday.
5.35.3.3. Printer installed at the Facility, to provide test results (FACSIMILE NOT ACCEPTABLE).
5.35.3.4. Immediate telephone contact with written reporting capability within twenty-four (24) hours.
5.35.4. A Clinician (ARNP, Physician’s Assistant (PA), Dentist, or Psychiatrist) shall check, initial, stamp and date all laboratory results within an appropriate to screen for discrepancies between the clinical observations and the laboratory results. In the event that the laboratory report and the clinical condition of the patient do not appear to correlate, it shall be the responsibility of the physician to make a clinical assessment, and to provide appropriate follow- up, which shall include reordering of the lab tests.
Laboratory Services. Service Company shall arrange for laboratory ------------------- services, including without limitation dental appliance laboratory service, pathology laboratory service, medical laboratory service, and such other laboratory services as are reasonably necessary and appropriate for the operation of each Clinic and the provision of Dental Care therein.
Laboratory Services. If Provider performs laboratory services, Subcontractor shall ensure Provider meets all applicable State and federal requirements, including but not limited to 42 CFR Sections 493.1 and 493.3, as may be amended from time to time. As applicable, if Provider performs any laboratory tests on human specimens for the purpose of diagnosis and/or treatment, Subcontractor shall require that Provider agrees to acquire and maintain the appropriate CLIA certification or waiver for the type of laboratory testing performed. Subcontractor shall further ensure Provider provides a copy of the certification if requested by United. A State authorized license or permit that meets the CLIA requirements may be substituted for the CLIA certificate pursuant to State law. Medicare and Medicaid programs require the applicable CLIA certification or waiver for the type of services performed as a condition of payment. Provider must include the appropriate CLIA certificate or waiver number on claims submitted for payment for laboratory services.
Laboratory Services. Your physician may order laboratory services to assist in diagnosing your condition or as preventative care to determine your current health status. Your insurance benefits may not cover all services provided or ordered by the provider. This includes: pap smears, testing for sexually transmitted disease, screening and diagnostic labs, genetic testing and drug screening. In some instances these services may be applied to your annual deductible or not covered. It is the patient’s responsibility to know the coverage, limitations and exclusions of your insurance policy. WHASN’s central billing office accepts checks as payment on an account. In the event a check is returned by the bank for “non- sufficient funds”, “closed account”, “return to maker”, “check voided”, “stop payment” and “un-authorized signature”, a $25.00 fee will be assessed to your account. We may choose to proceed with legal action which will result in additional fees to you or the guarantor of the account. You are responsible for the additional fees. If it is necessary to cancel your scheduled appointment, we request that you notify us at least 48 hours prior to the appointment. A “no-show” is someone who misses an appointment without cancelling it at least 48 hours prior to the scheduled appointment time. A failure to present at the time of a scheduled appointment will be recorded as a “no-show”. You will be charged $25 for “no-show” appointments. There is a $25.00 charge for each FMLA/disability form/signature completed by this office. Payment is due at the time the form is submitted. All FMLA/disability forms are completed by the office staff. There is generally a 7-14 day waiting period for the completion of these forms. The physician’s documentation in your medical chart serves as the basis of all FMLA/disability forms and cannot be enhanced by yourself or the office staff. It is important that you understand the difference between FMLA and disability forms. Disability forms can only be completed after the physician has determined the patient has a medical condition that warrants the patient to be off work. Normal symptoms during pregnancy (nausea, vomiting, headaches, swelling, pelvic pain/pressure) do not typically qualify as a medical disability.
Laboratory Services. If Provider performs laboratory services, Provider shall meet all applicable requirements of the Clinical Laboratory Improvement Amendments (CLIA) of 1988.
Laboratory Services. Routine and Specialty laboratory testing is available to Member at PPHC “cost” and is to be paid at time of service by credit card on file unless Member presents an alternate payment method.
