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.
Appears in 4 contracts
Samples: Pacificare Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc), Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc), Professional Capitation Medical Group/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. • Inpatient or outpatient, including professional, room and board, nursing, pharmacy and all other ancillary services.
Appears in 1 contract
Samples: Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)