Reimbursement determination definition

Reimbursement determination means an insurer's determination of whether the insurer will reimburse a health care provider for health care services and the amount of that reimbursement.
Reimbursement determination means a determination to provide or deny reimbursement for a health technology included as a covered benefit in a specific circumstance for an individual patient who is eligible to receive health care services from the state purchased health care program making the determination.
Reimbursement determination means a determina- tion to provide or deny reimbursement for a health technol- ogy included as a covered benefit in a specific circumstance for an individual patient who is eligible to receive health care services from the state purchased health care program mak- ing the determination, as set forth in RCW 70.14.080, as amended.

Examples of Reimbursement determination in a sentence

  • As team members, the RN and SW will participate in making CMAT recommendations based on the most appropriate services that are medically necessary, regardless of service availability, and will participate in Level of Care or Level of Reimbursement determination.

  • Reimbursement determination will be made upon return to your home unit.


More Definitions of Reimbursement determination

Reimbursement determination means an insurer's determination of whether the insurer will reimburse a "health care provider" (see definition in "Standards in federal laws not admissible as evidence in medical claim," above) for health care services and the amount of that reimbursement.
Reimbursement determination means an insurer's
Reimbursement determination means an in- surer’s determination of the amount that the insurer will reimburse a health care provider for health care services.
Reimbursement determination means a determination
Reimbursement determination means a determination to provide
Reimbursement determination means an insurer's determination of whether the insurer will reimburse a health care provider for health care services and the amount of that reimbursement.38 HISTORY ACTIONDATEIntroduced02-01-17Reported, H. Civil Justice05-29-18Passed House (76-18)06-27-18Reported, S. Judiciary12-03-18Passed Senate (31-0)12-05-18House concurred in Senate amendments (74-7)12-06-18 18-HB7-132/ks
Reimbursement determination means a determina- tion to provide or deny reimbursement for a health technol- ogy included as a covered benefit in a specific circumstance