Emergency Case means medical services are necessary to treat a condition or illness that, without immediate medical attention, would either (i) seriously jeopardize the life or health of the Member or the Member’s ability to regain maximum function, or (ii) cause the Member to be in danger to self or others.
Emergency Case means: (a) an adverse decision is rendered for a dental service or procedure that is proposed but has not been delivered; and (b) the dental service or procedure is necessary to treat a condition or illness that, without immediate medical attention, would seriously jeopardize Your life or health or Your to regain maximum function, or cause You to be in danger to self or others.
Emergency Case means an urgent case; "facility" means health care facility;
Examples of Emergency Case in a sentence
You or your Authorized Representative may seek an expedited review in the event of an Emergency Case as that term is defined in this section.
An "Emergency Case" shall be a landing in case of a relevant event (e.g. illness or death of a passenger, technical defect at the A/C etc.) or threat of violence.
Once expedited review is initiated, clinical review will determine if you have a medical condition which meets the definition of an Emergency Case.
If we determine that an Emergency Case does exist, then the expedited review request will be reviewed by a physician who is board certified or eligible in the same specialty as the treatment under review and who is not the individual (or the individual’s subordinate) who made the initial decision.
Except for an Emergency Case (Claim Involving Urgent Care), the Plan or the Plan’s Designee shall provide to the Commissioner any information requested by the Commissioner no later than seven working days from the date the Plan or the Plan’s Designee receives the request for information.
More Definitions of Emergency Case
Emergency Case. Emergency medical treatment required based on the beneficiary’s medical case, as a result of accident, occasional event or emergency health case requiring rapid medical intervention, as per the following ةلاحلا هيضتقت يذلا ئراطلا يبطلا جلاعلا :ةئراطلا ةلاحلا 1.20 ةلاح وأ ضراع وأ ،ثدح عوقو رثإ ديفتسملل ةيبطلا بسح عيرسلا يبطلا لخدتلا يعدتست ةئراط ةيحص تايوتسم نم ).ئراوطلا -2 .شاعنلإا -1( ةيلاتلا تايوتسلما levels (1. resuscitation. 2. Emergency.) of the levels of urgent medical care, as outlined in Private Health Institutions Law and Its Executive Regulations, approved by the Ministry of Health, set to screen emergencies. تاسسؤلما ماظنب حضوم وه امك ةلجاعلا ةيبطلا ةياعرلا ةرازو نم ةدمتعلما ةيذيفنتلا هتحئلاو ةصاخلا ةيحصلا .ةئراطلا تلااحلا زرف ددحي يذلاو ةحصلا
Emergency Case means and includes road traffic accidents, myocardial infarction, burns/scalds, blast, poisoning, head injury or any other medical or surgical emergency of equivalent nature as determined by the Authorized Medical Attendant;
Emergency Case. A case in which an Adverse Decision was rendered pertaining to Health Care Services which have yet to be delivered and such Health Care Services are necessary to treat a condition or illness
Emergency Case. A case in which an Adverse Decision was rendered pertaining to Health Care Services which have yet to be delivered and such Health Care Services are necessary to treat a condition or illness that, without medical attention would: (a) seriously jeopardize the life or health of the Member or the Member’s ability to regain maximum function; or (b) cause the Member to be in danger to self or others. Grievance: A protest filed by a Member with Health Plan through our internal grievance process regarding an Adverse Decision concerning the Member. A Grievance does not include a verbal request for reconsideration of a Utilization Review determination.
Emergency Case. Emergency medical treatment required based on the beneficiary’s medical case, as a result of accident, occasional event or emergency health case requiring rapid medical intervention, as per the following levels (1. resuscitation. 2. Emergency.) of the levels of urgent medical care, as outlined in Private Health Institutions Law and Its Executive Regulations, approved by the Ministry of Health, set to screen emergencies. الحالة الطارئة: العلاج الطبي الطارئ الذي تقتضيه الحالة الطبية للمستفيد إثر وقوع حدث، أو عارض أو حالة صحية طارئة تستدعي التدخل الطبي السريع حسب المستويات التالية (1- الإنعاش. 2- الطوارئ.) من مستويات الرعاية الطبية العاجلة كما هو موضح بنظام المؤسسات الصحية الخاصة ولائحته التنفيذية المعتمدة من وزارة الصحة والذي يحدد فرز الحالات الطارئة. Health: State of complete physical, mental and social safety, not merely the absence of disease or infirmity. الصحة: حالة من اكتمال السلامة بدنياً وعقلياً واجتماعياً، لا مجرد انعدام المرض أو العجز.
Emergency Case means a case involving an adverse decision for which an expedited review is requested. “Filing date” means the earlier of:
Emergency Case means a case involving an adverse decision for which an expedited review is required if the: (a) adverse decision is rendered for health care services that are proposed but have not been delivered; and (b) services are necessary to treat a condition or illness that, without immediate medical attention, would: (1) seriously jeopardize the life or health of the member or the member’s ability to regain maximum function; (2) cause the member to be in danger to self or others; or (3) cause the member to continue using intoxicating substances in an imminently dangerous manner.