Medically necessary service definition
Medically necessary service means a medical, surgical, or other services required for the prevention, diagnosis, cure, or treatment of a health- related condition including any such services that are necessary to slow or prevent a decremental change in medical and/or mental health status.
Medically necessary service means that:
Medically necessary service means a covered service that, in a manner consistent with accepted standards of medical practice, is reasonably expected to:
Examples of Medically necessary service in a sentence
If at any time during an Episode of Care, a Provider determines that any Medically Necessary Service must be performed on an urgent or emergency basis to preserve the life or health of the Participant, Sponsor will be responsible for payment of the Provider’s charges for any such Medically Necessary Service as part of the Episode of Care.
The Parties acknowledge and agree that it shall be in the Provider’s sole discretion to determine whether or not any Covered Service is a Medically Necessary Service.
More Definitions of Medically necessary service
Medically necessary service means a covered dental service, requested by specialty care referral, which is: (1) adequate, appropriate and essential for the evaluation, diagnosis and treatment of a dental condition or disease; and (2) consistent with nationally accepted standards of practice.
Medically necessary service means a service or treatment that is absolutely necessary to treat or diagnose a patient and could adversely affect the patient’s condition, illness or injury if it were omitted, and the service or treatment is not considered an elective or cosmetic surgery service or treatment.
Medically necessary service means a health care item or service which a Provider determines to be both reasonable and necessary to diagnose or treat an illness, injury, condition, disease or symptom of a Participant which is consistent with accepted standards of medicine.
Medically necessary service. , as used in this document, means a covered service that, in a manner consistent with accepted standards of medical practice, is reasonably expected to:
Medically necessary service or “Medically Necessary” is determined by generally accepted North Carolina community practice standards as verified by independent Medicaid consultants. As required by 10A NCAC 25A.0201, a medically necessary service may not be experimental in nature. (Section VII, G(1)(b)(i))
Medically necessary service means a service or treatment provided or billed by a hospital that is either an emergency service or is otherwise necessary to treat or diagnose a patient and could adversely affect the
Medically necessary service means a service or