Clinical coverage definition

Clinical coverage means specified and prearranged coverage that is available 24 hours a day, 7 days a week, to assist in the management of patients with chronic pain;
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Clinical coverage means defined and prearranged coverage that is available twenty-four hours a day, seven days a week, to assist in the management of patients with chronic pain.
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Examples of Clinical coverage in a sentence

  • Clinical coverage policies may incorporate, without limitation and as applicable, criteria relating to U.S. Food and Drug Administration-approved labeling, the standard medical reference compendia and peer-reviewed, evidence-based scientific literature or guidelines.

  • Clinical coverage decisions are based on the eligibility of the member, state and federal mandates, the member’s COC, EOC or summary plan description, medical policy, medical technology assessment information, and for Medicare products CMS NCDs and LCDs and other evidenced-based clinical literature.

  • Express Scripts reviews both clinical and administrative coverage review requests: Clinical coverage review requests: A request for coverage of a medication that is based on clinical conditions of coverage that are set by the Plan.

  • ESI reviews both clinical and administrative coverage review requests (depending on the reason for the denial of your claim):  Clinical coverage review request: A request for coverage of a medication that is based on clinical conditions of coverage that are set by the Plan.

  • Clinical coverage models, patient load, and pharmacist training levels also differ.

  • Clinical coverage will be available from the contractor 8 hours per day, Monday – Friday, 8:00 AM to 4:30 PM, for a minimum of 40 hour per week, excluding the 11 federal holidays outlined in the next paragraph.

  • Students should be seated so that they will not be tempted to look at the answers of others.

Related to Clinical coverage

  • Minimum Essential Coverage has the meaning given in the Affordable Care Act, 26 U.S.C. §5000A(f).

  • Basic hospital cover means a hospital policy that includes the clinical categories that must be covered by a basic hospital product.

  • Clinical nurse specialist means a registered nurse with relevant post-basic qualifications and 12 months’ experience working in the clinical area of his/her specified post-basic qualification, or a minimum of four years’ post-basic registration experience, including three years’ experience in the relevant specialist field and who satisfies the local criteria.

  • Bronze hospital cover means a policy that covers hospital treatment in all the clinical categories required for a bronze policy.

  • Period of Coverage means the Plan Year, with the following exceptions: (a) for Employees who first become eligible to participate, it shall mean the portion of the Plan Year following the date on which participation commences, as described in Section 3.1; and (b) for Employees who terminate participation, it shall mean the portion of the Plan Year prior to the date on which participation terminates, as described in Section 3.2.

  • Clinical laboratory means a facility for the microbiological, serological, chemical, hematological, radiobioassay, cytological, immunohematological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of a disease or assessment of a medical condition.

  • Basic Comprehensive User Guide means the Ministry document titled Basic Comprehensive Certificates of Approval (Air) User Guide” dated April 2004 as amended.

  • Coverage or “Covering”) shall mean that the developing, making, using, offering for sale, promoting, selling or importing of a given compound, formulation or product would infringe a Valid Claim of an issued patent in the absence of a license under such Valid Claim. The determination of whether a compound, formulation or product is Covered by a particular Valid Claim shall be made on a country-by-country basis.

  • Pre-existing Medical Condition means any condition which:

  • Creditable coverage means, with respect to an individual, coverage of the individual provided under any of the following:

  • Qualifying medical condition means seizure disorder,

  • Period of Insurance means the period commencing from the retroactive date and terminating on the expiry date as shown in the Policy Schedule.

  • Debilitating medical condition means one or more of the following:

  • Continuation Coverage means the temporary continuation of PEBB benefits available to enrollees under the Consolidated Omnibus Budget Reconciliation Act (COBRA), 42 U.S.C. Secs. 300bb-1 through 300bb-8, the Uniformed Services Employment and Reemployment Rights Act (USERRA), 38 U.S.C. Secs. 4301 through 4335, or the public employees benefits board's policies.

  • Major maintenance means the adjustment, repair or replacement of a component or module that could affect the accuracy of a measurement.

  • Product Conditions means these product terms and conditions. These Product Conditions apply to each series of cash settled Warrants over single equities;

  • Medical malpractice insurance means insurance against legal liability incident to the practice and provision of a medical service other than the practice and provision of a dental service.

  • Medical care facility as used in this title, means any institution, place, building or agency, whether

  • Corrective Maintenance means the maintenance which is required when an item has failed or worn out, to bring it back to working order, which may also include those services necessary to partially restore, renew or strengthen an existing Department facility or system, following damage caused by use or normal wear and tear.

  • Drug use test means a scientifically substantiated method to test for the presence of illegal or performance-enhancing drugs or the metabolites thereof in a person’s urine.

  • Medical cannabis pharmacy means the same as that term is defined in Section 26-61a-102.

  • Medical cannabis means the same as that term is defined in Section 26-61a-102.

  • Maintenance Term means the period of time for which Customer has purchased Maintenance Services, as evidenced by the Purchase Order delivered by Customer in connection therewith, together with all renewals effected in accordance with Section 4 of this Agreement.

  • Environmental covenant means a servitude arising under an environmental response project that imposes activity and use limitations.

  • Medical condition means either of the following:

  • Emergency medical condition means a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) so that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in a condition described in clause (i), (ii), or (iii) of section 1867(e)(1)(A) of the Social Security Act (42 U.S.C. 1395dd(e)(1)(A)). In that provision of the Social Security Act, clause (i) refers to placing the health of the individual (or, with respect to a pregnant woman, the health of the woman or her unborn child) in serious jeopardy; clause (ii) refers to serious impairment to bodily functions; and clause (iii) refers to serious dysfunction of any bodily organ or part.