Coverage determination definition

Coverage determination means a determination of the circumstances, if any, under which a health technology will be included as a covered benefit in a state purchased health care program.

Coverage determination means a determination of a Relevant Minister under Chapter 3 Part 1 Division 1 of the National Gas Law; Covered Pipeline means a pipeline:

Coverage determination means a determination of the

Examples of Coverage determination in a sentence

• A decision with respect to a request for determination of insured status, a notice of unemployment, or a claim for benefits.b. Coverage determination.

• Coverage determination is required when Members with a MA-PD use insulin administered in a pump.

• Coverage determination recommendation is made through Utilization Review or CHEC committees on a case by case basis when there is evidence-based efficacy research and documentation of member medical necessity.

• Also referred to as In-Network Provider.COORDINATION OF BENEFITSThe Coordination of Covered Services between two or more plans under which an individual is covered after primary and secondary Coverage determination is made.COPAYMENTThe portion of the cost of Covered Services that a Member is obligated to pay under the plan(s), including Deductibles.

• Payments required by a state employment security law to be made to the state unemployment fund by reason of insured work but does not include reimbursement payments of nonprofit organizations or governmental entities in lieu of contributions.23.1(7) Coverage determination.

More Definitions of Coverage determination

Coverage determination means a determination of the circumstances, if any, under which a health technology will be included as a covered benefit in a state purchased health care program, as set forth in RCW 70.14.080, as amended.

Coverage determination as defined in RCW 70.14.080 means a determination of the circumstances, if any, under which a health tech- nology will be included as a covered benefit in a state purchased health care program.

Coverage determination means a determination of a relevant Minister under Chapter 3 Part 1 Division 1 ; "coverage recommendation" means a recommendation of the NCC under Chapter 3 Part 1 Division 1 ; "coverage revocation determination" means a determination of a relevant Minister under Chapter 3 Part 1 Division 2 ; "coverage revocation recommendation" means a recommendation of the NCC under Chapter 3 Part 1 Division 2 ; "covered pipeline" means a pipeline—

Coverage determination as defined in RCW 70.14.- 080 means a determination of the circumstances, if any, under which a health technology will be included as a cov- ered benefit in a state purchased health care program((, as set forth in RCW 70.14.080, as amended)).

Coverage determination means with respect to items and services for which coverage may be provided under a health plan, a de- termination of whether or not such items and services are covered or reimbursable under the coverage and terms of the con- tract.

Coverage determination. ’ means a determination by

Coverage determination means a decision made by clinical personnel on coverage status for a medication.