TRANSPLANT EVALUATION PHASE. Pre-transplant medically necessary services required to assess and evaluate the Member to determine acceptance to transplant program. This phase ends upon acceptance or denial into the transplant program. This Phase shall include: • Consultation with surgeon(s), psychiatrist(s), specialist(s), transplant coordinator(s), social services. • Hematology, blood banking, serology, chemistry, histocompatibility. • X-rays, pulmonary function tests, skin tests, leukopheresis consultation, CT scan, tissue typing, MRI. • Inpatient or outpatient, including professional, room and board, nursing, pharmacy and all other ancillary services.
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Samples: Services Agreement (Prospect Medical Holdings Inc), Ipa Services Agreement (Prospect Medical Holdings Inc), Ipa Services Agreement (Prospect Medical Holdings Inc)
TRANSPLANT EVALUATION PHASE. Pre-transplant medically necessary services required to assess and evaluate the Member to determine acceptance to transplant program. This phase ends upon acceptance or denial into the transplant program. This Phase shall include: • Consultation with surgeon(s), psychiatrist(s), specialist(s), transplant coordinator(s), social services. • Hematology, blood banking, serology, chemistry, histocompatibility. • X-rays, pulmonary function tests, skin tests, leukopheresis Ieukopheresis consultation, CT scan, tissue typing, MRIMRJ. 66 • Inpatient or outpatient, including professional, room and board, nursing, pharmacy and all other ancillary services.
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