Expedited prior authorization request definition

Expedited prior authorization request means any request by a provider or facility for approval of a service where the passage of time could seriously jeopardize the life or health of the enrollee, seriously jeopardize the enrollee's ability to regain maximum func- tion, or, in the opinion of a provider or facility with knowledge of the enrollee's medical condition, would subject the enrollee to severe pain that cannot be adequately managed without the service that is the subject of the request.
Expedited prior authorization request means any request by a provider or facility for approval of a service where the passage of time could seriously jeopardize the life or health of the enrollee, seriously jeopardize the enrollee's ability to regain maximum function, or, in the opinion of a provider or facility with knowledge of the enrollee's medical condition, would subject the enrollee to severe pain that cannot be adequately managed without the service that is the subject of the request. (The word “service” is not defined. But, since it is used so frequently in the newer rule language, we are suggesting an edit below to the definition ofhealth care service” or you can use the words “health care service” or “health service” which are defined.)
Expedited prior authorization request means any

Examples of Expedited prior authorization request in a sentence

  • Expedited prior authorization request" means any request by a provider or facility for approval of a service where the passage of time could seriously jeopardize the life or health of the enrollee, seriously jeopardize the enrollee's ability to regain maximum function, or, in the opinion of a provider or facility with knowledge of the enrollee's medical condition, would subject the enrollee to severe pain that cannot be adequately managed without the service that is the subject of the request.

  • He responded by alluding to the point that they are content with being a vital part of catering to mostly first-time homebuyers in Namibia.


More Definitions of Expedited prior authorization request

Expedited prior authorization request means any request by a provider or facility for approval of a health care service where the passage of time could seriously jeopardize the life or health of the enrollee, seriously jeopardize the enrollee's ability to regain maximum function, or, in the opinion of a provider with knowledge of the enrollee's medical condition, would subject the enrollee to severe pain that cannot be adequately managed without the care or treatment health care service that is the subject of the request. (The definition in this existing WAC section is “health care service” or “health service”)
Expedited prior authorization request means any request for

Related to Expedited prior authorization request

  • L/C Application means an application and agreement for the issuance or amendment of a Letter of Credit in the form from time to time in use by the L/C Issuer.