Experimental and Investigational definition

Experimental and Investigational means those health products or services that meet one of the followingconditions: (a)any drug or device that is not approved for use by the Food & Drug Administration (“FDA”); any drug classified by the FDA as investigational new drug (“IND”); any drug requiring preauthorization that is proposed for off-label prescribing; (b) any health product or service that is subject to Investigational Review Board (“IRB”) review or approval; (c) any health product or service that isthe subject of a clinical trial that meets criteria for Phase I, II, or III, as set forth by FDA regulations; or (d) any health product or service that is considered not to have demonstrated value based on clinical evidence reported by peer‑reviewed medical literature and generally recognized by academicexperts.
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Experimental and Investigational means a drug, device, procedure, or treatment that Aetna determines is not accepted as standard medical treatment of a condition or illness. Examples of Aetna’s experimental and investigational determinations are found at Aetna.com under Clinical Policy Bulletins.
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Experimental and Investigational means a drug, device, procedure, or treatment that Alliant determines is not accepted
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Examples of Experimental and Investigational in a sentence

  • All determinations that involve, in whole or in part, issues of Medical Necessity, whether services are Experimental and Investigational, or any other medical judgment, are based on the evaluations and opinions of health care professionals who have the appropriate training and experience in the field of medicine involved in the medical judgment.

  • Experimental/ Investigational Services CareFirst BlueChoice’s definition of Experimental Medical Care also referenced as Experimental and Investigational Services is as follows: The term “experimental/ investigational” describes services or supplies that are in the developmental stage and are in the process of human or animal testing.

  • See Section 11 for additional information and an explanation of Experimental and Investigational exclusions.

  • See the Plan’s Experimental and Investigational Treatment medical policy, policy number OCA 3.12, for the product-specific definitions of experimental or investigational treatment.

  • Indiana University Health Plans (IU Health Plans) considers clinical indications when making a medical necessity determination for Experimental and Investigational Services.

  • Experimental and Investigational TreatmentsThese services are covered on a case by case basis according to New York State law.

  • While the period of rest provisions in article will not apply (as they will be working their "normal" hours of work, not overtime), if the employee is replacing a night or shifts, they will not be required to work their normal work day following the night shift.

  • Do not use this process to appeal Medical Necessity determinations or Experimental and Investigational determinations.The appeal process is used after you receive an initial Adverse Benefit Determination concerning a claim for benefits or an administrative issue.

  • Coverage is for one transplant or infusion only within a 12-month period, unless a tandem transplant or infusion meets the Plan’s definition of Covered Charge and is not an Experimental and Investigational Measure.

  • For additional information about the criteria and process for approval of Experimental and Investigational transplants call member Services at 0-000-000-0000.


More Definitions of Experimental and Investigational

Experimental and Investigational means a drug, device, procedure, or treatment that Alliant determines is not accepted as standard medical treatment of a condition or illness.
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Related to Experimental and Investigational

  • Background investigation means the investigation conducted by a licensee or applicant to support the determination of trustworthiness and reliability.

  • EXPERIMENTAL OR INVESTIGATIONAL means any healthcare service that has progressed to limited human application, but has not been recognized as proven and effective in clinical medicine. See Experimental or Investigational Services in Section 3 for a more detailed description of the type of healthcare services we consider experimental or investigational.

  • Remedial investigation means a process to determine the nature and extent of a discharge of a contaminant at a site or a discharge of a contaminant that has migrated or is migrating from the site and the problems presented by a discharge, and may include data collected, site characterization, sampling, monitoring, and the gathering of any other sufficient and relevant information necessary to determine the necessity for remedial action and to support the evaluation of remedial actions if necessary;

  • Investigations The Xxxxxxx, when requested by one or a number of employees whom he/she represents, may investigate the basis for any dispute arising under this Agreement and may, at any stage, assist the employee(s) in seeking resolution of such dispute through the grievance procedure provided herein. A staff representative of the Union may substitute in place of the Xxxxxxx at the third step (Agency Head) or sooner if the agency is represented by other than the supervisor or intermediate supervisor. The Union may substitute a Union staff person in place of the Xxxxxxx if the Xxxxxxx is not available.

  • Complaint Investigation means an investigation of any complaint that has been made to a proper authority that is not covered by an abuse investigation.

  • Investigational Product means the Study Drug identified above and the control material, as further detailed in the Protocol;

  • clinical investigation means any systematic investigation involving one or more human subjects, undertaken to assess the safety or performance of a device;

  • Studies means activities needed to prepare project implementation, such as preparatory, mapping, feasibility, evaluation, testing and validation studies, including in the form of software, and any other technical support measure, including prior action to define and develop a project and decide on its financing, such as reconnaissance of the sites concerned and preparation of the financial package;

  • Investigation means the Bureau’s decision to hold and not process the Company’s license renewal applications identified in Appendix A due to the Company’s inability to certify compliance with its public file obligations.

  • Current significant investigative information means investigative information that a licensing board, after an inquiry or investigation that includes notification and an opportunity for the audiologist or speech-language pathologist to respond, if required by state law, has reason to believe is not groundless and, if proved true, would indicate more than a minor infraction.

  • Experimental or Investigative means treatments, devices or prescription medications which are recommended by a Physician, but are not considered by the medical community as a whole to be safe and effective for the condition for which the treatments, devices or prescription medications are being used. This includes any treatments, procedures, facilities, equipment, drugs, drug usage, devices, or supplies not recognized as accepted medical practice, and any of those items requiring federal or other governmental agency approval not received at the time services are rendered.

  • Investigative information means information, records, and documents received or generated by a physical therapy licensing board pursuant to an investigation.

  • Study means the investigation to be conducted in accordance with the Protocol.

  • experimental development means acquiring, combining, shaping and using existing scientific, technological, business and other relevant knowledge and skills with the aim of developing new or improved products, processes or services. This may also include, for example, activities aiming at the conceptual definition, planning and documentation of new products, processes or services;

  • Environmental Activities means the use, generation, transportation, handling, discharge, production, treatment, storage, release or disposal of any Hazardous Materials at any time to or from any portion of the Premises or located on or present on or under any portion of the Premises.

  • Phase I Environmental Assessment A “Phase I assessment” as described in, and meeting the criteria of, the ASTM, plus a radon and asbestos inspection.

  • Audits means the audits and reviews carried out by the Bank or the Bank’s auditors, experts and insurers, as the case may be in accordance with the terms and conditions set out in Section 18.

  • Site investigation means the collection and evaluation of data adequate to determine whether or not discharged contaminants exist at a site or have migrated or are migrating from the site at levels in excess of the applicable remediation standards. A site investigation shall be developed based upon the information collected pursuant to the preliminary assessment;

  • Environmental Safeguards means the principles and requirements set forth in Chapter V, Appendix 1, and Appendix 4 (as applicable) of the SPS;

  • Environmental Review means the Federal

  • Environmental Assessment means an assessment of the presence, storage or release of any hazardous or toxic substance, pollutant or contaminant with respect to the collateral securing a Shared-Loss Loan that has been fully or partially charged off.

  • Abuse Investigation and Protective Services means reporting and investigation activities as required by OAR 407-045-0300 and any subsequent services or supports necessary to prevent further abuse as required by OAR 407-045-0310.

  • Clinical means having a significant relationship, whether real or potential, direct or indirect, to the actual rendering or outcome of dental care, the practice of dentistry, or the quality of dental care being rendered to a patient;

  • Initial Environmental Examination or “IEE” means the initial environmental examination for the Project, including any update thereto, prepared and submitted by the Borrower and cleared by ADB;

  • Investigators means collectively, the Lead Principal Investigator, Team Principal Investigators and Co-Investigators;

  • Investigative consumer report means a consumer report or portion thereof in which information about a natural person's character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with the person's neighbors, friends, associates, acquaintances, or others who may have knowledge concerning such items of information.