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 toU.S. Food and Drug Administration-approved labeling, the standard medical reference compendia and peer reviewed, evidence-based scientific literature or guidelines.In determining whether health care services, supplies, or medications are Medically Necessary, the Medical Director or Review Organization may rely on the clinical coverage policies maintained by Cigna or the Review Organization.

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

  • This difference was $1.8 million and none for the twelve month and three month periods ending December 31, 2018.

  • 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 policies may incorporate, without limitation and as applicable, criteria relating toU.S. Food and Drug Administration-approved labeling, the standard medical reference compendia and peer-reviewed, evidence-based scientific literature or guidelines.”applicable, the Medical Director or Review Organization may compare the cost-effectiveness of alternative services, supplies, medications or settings when determining least intensive setting.

  • Clinical coverage policies may incorporate, without limitation and as applicable, criteria relating toU.S. Food and Drug Administration-approved labeling, the standard medical reference compendia and peer-reviewed, evidence-based scientific literature or guidelines.”in the least intensive setting that is appropriate for the delivery of the services, supplies or medications.

  • Clinical coverage happens within discipline – all psychology trainees need to arrange coverage from within their training group.

  • 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.

  • Clinical coverage is provided all times/all shifts by an in-house trauma surgeon, trauma intensivist , trauma radiologist , and trauma anesthesiology attending; two trauma/critical care fellows and a trauma surgery fellow; and general surgical, emergency medicine , and anesthesiology house staff.

  • 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.

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 means the types of persons to be eligible as the beneficiaries of the Scheme to health services provided under the Scheme, subject to the terms, conditions and limitations.

  • 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:

  • Site Coverage means ratio expressed in percentage between the area covered by the ground floor of building and the area of the site;

  • 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 coverage under a COBRA continuation provision or a similar state program. Coverage provided by a plan that is subject to a COBRA continuation provision or similar state program, but that does not satisfy all the requirements of that provision or program, will be deemed to be continuation coverage if it allows an individual to elect to continue coverage for a period of at least 18 months. Continuation coverage does not include coverage under a conversion policy required to be offered to an individual upon exhaustion of continuation coverage, nor does it include continuation coverage under the Federal Employees Health Benefits Program.

  • 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 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 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) such that the absence of immediate medical attention could reasonably be expected to result in any of the following:

  • Medical cannabis dispensary means an organization issued a