Unproven definition

Unproven means that there is no substantial evidence that a treatment is effective for the condition of interest. This may reflect the absence of any data or the absence of studies of acceptable quality. The term “unproven therapy” includes:
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Unproven means that there is not substantial evidence that a treatment is effective for the condition. This may reflect the absence of any data or the absence of studies of acceptable quality. It includes: Treatment that is considered “standard of care” but which has never been subject to rigorous scientific testing or submitted to FDA for approval. Treatment for which there are no, or insufficient, clinical or pre-clinical data to support safety or efficacy. A product that is not approved for, nor does the labeling for the product contain, the specific indication or patient population under study. “Unsatisfactory” means that the available product or therapy is effective, but there are drawbacks to its use, such as: Safety issues (e.g., high incidence of adverse effects). Efficacy issues, including: The time for the treatment to be effective is too long. The treatment has limitations related to the setting in which it is needed (e.g., should be administered in the field but needs refrigeration; is not portable).
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Examples of Unproven in a sentence

  • Unproven treatments are treatments, procedures or supplies that lack significant medical documentation to support their effectiveness.

  • Benefits are available for transplants when the transplant meets the definition of a Covered Health Care Service, and is not an Experimental or Investigational or Unproven Service.

  • Benefits may not be available for the Prescription Drug Product after we review the documentation provided and we determine that the Prescription Drug Product is not a Covered Health Care Service or it is an Experimental or Investigational or Unproven Service.

  • Benefits are available for tissue and cornea transplants when the transplant meets the definition of a Covered Health Care Service, and is not an Experimental or Investigational or Unproven Service.

  • Employees so hired shall be classified as Unproven Equipment Operators.

  • If you have a life-threatening Sickness or condition (one that is likely to cause death within one year of the request for treatment) we may, as we determine, consider an otherwise Unproven Service to be a Covered Health Care Service for that Sickness or condition.

  • Unproven Treatments: Expenses related to any unproven treatment, services and supplies for or in connection with any treatment.

  • An Unproven Equipment Operator may be terminated for unsuitability during the first thirty (30) days or if deemed suitable after thirty (30) days, shall be entitled to all the provisions of the Collective Agreement.

  • Except where otherwise provided by applicable law, Group shall not bill or attempt to collect from the Blue Preferred PPO Member for services denied as not Medically Necessary or Experimental/Investigational/ Unproven unless Group has obtained a Written Waiver prior to rendering services.

  • It is understood that when the Union is unable to supply qualified operators in the classification requested by the Employer, and the Employer then utilizes the provisions of Article 4:03 and is still unable to find a qualified operator, the Employer shall have the right to hire an Unproven Equipment Operator who will be paid the rate of one dollar and seventy-five cents ($1.75) per hour less than the rate of pay for that piece of equipment for the first thirty (30) days of employment.