Prospective review definition

Prospective review means utilization review conducted prior to an admission or a course of treatment.

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Prospective review means any utilization review conducted, except for utilization review conducted during an inpatient stay, prior to the delivery of the requested medical services.

Prospective review means utilization review that is conducted prior to a hospital admission or a course of treatment;

Examples of Prospective review in a sentence

Prospective review should take place at the dispensing pharmacy’s point-of-sale (POS).
Prospective review should take place at the dispensing pharmacy's point-of-sale (POS).
Prospective review is performed before the Member would have received the treatment in question and concurrent review is performed at the same time the Member is receiving the treatment.
Prospective review" is utilization review conducted before an admission or course of treatment, including any required pre-authorization or pre-certification.
Pre-certification of BCBSNJ-Selected Outpatient/Ambulatory Procedures --Prospective review of BCBSNJ-selected surgical, diagnostic or therapeutic outpatient procedure recommended for the patient occurs prior to the rendering of the procedure to determine the medical necessity of the procedure.

More Definitions of Prospective review

Prospective review means utilization review conducted prior to an admission or the provision of a health care service or a course of treatment in accordance with a health carrier’s requirement that the health care service or course of treatment, in whole or in part, be approved prior to its provision.

Prospective review means utilization review conducted before an admission or a course of treatment. (bb) "Protected health information" means health information that identifies an individual who is the subject of the information or with respect to which there is a reasonable basis to believe that the information

Prospective review means the utilization review conducted prior to the delivery of the requested medical services, in accordance with Labor Code section 4610 and title 8, California Code of Regulations section 9792.6.1 et seq.

Prospective review means utilization review conducted prior to an admission or the

Prospective review means a utilization review conducted of a preservice claim prior to an

Prospective review means a utilization review that is conducted prior to the

Prospective review means a benefits review prior to receiving a service. Prospective reviews are not required under this policy, but you or your provider may choose to request a pre-treatment estimate of benefits before a service is performed.