Emergency care services definition

Emergency care services means those services identified in 18 Del.C. §§3349(d) and 3565(d) performed at any time during the Duration of an Emergency Medical Condition, including any covered service providing for the transportation of a patient to a hospital emergency facility for an emergency medical condition including air and sea ambulances so long as medical necessity criteria are met.

Emergency care services. If a Member experiences a Medical Emergency while traveling outside Keystone’s Approved Service Area, medical treatment should be sought from the nearest appropriate Facility Provider.

Emergency care services means services for an emergency medical condition as defined in 31A-22-627(3).

Examples of Emergency care services in a sentence

• Emergency care services provided in a hospital or freestanding emergency room; and2.

• Please see the “Receiving Care” section below for more information about PCPs. Emergency care services for screening and stabilization do not require preauthorization.

• Emergency care services for screening and stabilization do not require prior authorization.

• Emergency care services as well as ambulance transportation services shall exist in each municipality comprising the health area/region, 24 hours a day, and 365 days yearly, operated by an HCO, or by other participating providers.

• You must submit appropriate reports and x-rays.Network benefits also include benefits for services received from Out-of-Network Vision Providers when Network Providers are not readily available without unreasonable delay.Please contact our customer service for assistance with processing the claims for Emergency care services from an Out-of-Network Provider, or services from an Out-of-Network Provider when a Network Provider is not available.

More Definitions of Emergency care services

Emergency care services. If you experience a Medical Emergency while traveling outside our Service Area, go to the nearest Emergency or urgent care facility.

Emergency care services means the immediate care or treatment necessary to prevent death, severe or permanent disability or to alleviate severe pain, including medically necessary crisis intervention for CDCR Patient-Inmates/DJJ Youth suffering from situational crisis or acute episodes of mental illness, in accordance with CCR, Title 15.

Emergency care services means those services identified in 18 Del.C. §§3349(c) and 3565(c) including:

Emergency care services means serv- ices furnished to an individual for treatment of an ‘‘emergency medical condition’’ as that term is defined in Legal representative means one or more individuals who, as determined by applicable State law, has the legal authority to enter into the contract with the physician or practitioner on behalf of the beneficiary. Opt-out means the status of meeting the conditions specified in § 405.410. Opt-out period means the 2-year pe- riod beginning on the effective date of the affidavit as specified by Participating physician means a ‘‘phy- sician’’ as defined in this section who has signed an agreement to participate in Part B of Medicare.

Emergency care services means those services identified in 18 Del.C. §§3349(c) and 3565(c) including: a provider who also provides health care services that aren't emergency care services.

Emergency care services means medical services provided for an emergency medical condition.

Emergency care services means the immediate care or treatment necessary to prevent death, severe or permanent disability or to alleviate severe pain, including medically necessary crisis intervention for inmates suffering from situational crisis or acute episodes of mental illness, in accordance with CCR, Title 15. Experimental or Investigational Treatment means any treatment, therapy, procedure, drug or drug usage, facility or facility usage, equipment or equipment usage, device or device usage, or supplies which are not recognized as being in accord with generally accepted professional medical standards, or as being safe and effective for use in the treatment of an illness, injury, or condition at issue. Services which require approval by the federal government or any agency thereof, or by any state governmental agency prior to use, and where such approval has not been granted at the time the services were rendered, shall be considered experimental or investigational. Services which themselves are not approved or recognized as being in accord with accepted professional medical standards, but nevertheless are authorized by law or a governmental agency for use in testing, trials, or other studies on human patients, shall be considered experimental or investigational. HIPAA the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191. HITECH ACT Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH ACT), enacted as part of the American Recovery and Reinvestment Act of 2009, and addresses the privacy and security concerns associated with the electronic transmission of health information.