Emergency room services definition

Emergency room services means medical services provided to a patient in an emergency.
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Examples of Emergency room services in a sentence

  • You may also request an external appeal by an outside agency if you are dissatisfied with our appeal determination related to any of the following special circumstances as described in more detail in Section 6: • Emergency room services; • Air ambulance services; • Non-emergency covered healthcare services rendered by a non-network provider at certain network facilities.

  • The Contractor shall instruct its provider network of the Emergency room services copayment policy and procedure, such as the hospital's notification responsibilities (outlined above) and the circumstances under which the hospital must waive or return the copayment.

  • Emergency room services for all plans will be $100.00 per visit in addition to any applicable calendar year deductible.

  • Emergency room services rendered at a non-network hospital and covered by the hospital contract will be reimbursed at the billed charges minus the emergency room copayment.

  • Out-of-Network, only 70% of the Allowed Benefit Other Covered Services As described in Attachment B, Description of Covered Services 100% of the Allowed Benefit Out-of-Network, only 70% of the Allowed Benefit Maternity and Related Services The Subscriber/Spouse and Dependent children are eligible for these benefits 100% of the Allowed Benefit Out-of-Network, only 70% of the Allowed Benefit Emergency room services 100% of the Allowed Benefit minus a Member Copayment of $100 per visit.

  • Physician/surgeon fees 0% After Deductible 20% After Deductible If you need immediate medical attention Emergency room services 0% After Deductible None Emergency medical transportation 0% After Deductible None Urgent care 0% After Deductible 20% After Deductible None If you have a hospital stay Facility fee (e.g., hospital room) 0% After Deductible 20% After Deductible Benefits may be denied or reduced without preauthorization.

  • Emergency room services covered 100%, both in-net- work and out-of-network – after $75 copayment.

  • SGC-CAT has met the four prerequisites for signing of this MOU: o Approval of the SGC-CAT proposal in accordance with the recommendations of the Proposal Evaluation Board.

  • Emergency room services coverage 100%, both in-network and out-of- network – after $50 copayment.

  • Emergency room services and urgent care centers are not considered outpatient settings.