Urgent health care service means a health care service with
Urgent health care service means a health care service with respect to which the application of the time periods for making a nonexpedited prior authorization, in the opinion of a physician with knowledge of the covered person’s medical condition: (1) could seriously jeopardize the life or health of the covered person or the ability of the covered person to regain maximum function; or (2) could subject the covered person to severe pain that cannot be adequately managed without the care or treatment that is the subject of the utilization review.
Urgent health care service means a health care service for which the application of the time periods for making a nonexpedited prior authorization decision could, in the opinion of a physician with knowledge of the enrollee's medical condition:
More Definitions of Urgent health care service
Urgent health care service. MEANS A HEALTH CARE SERVICE THAT, IN THE OPINION OF THE PROVIDER BASED ON THE COVERED PERSON'S MEDICAL CONDITION, IF SUBJECTED TO THE PRIOR AUTHORIZATION TIME PERIOD FOR A NONURGENT HEALTH CARE SERVICE, COULD:
Urgent health care service means a health care service for which, in the opinion of a
Urgent health care service means a health care service in which
Urgent health care service means a health-care service deemed by a provider to require expedited pre-
Urgent health care service means a health care service with respect to which the
Urgent health care service means a health care service with respect to which the application of the time periods for making a non-expedited prior authorization that in the opinion of a health care professional with knowledge of the enrollee's medical condition:
Urgent health care service means a health care service with respect to which the application of the time periods for making a non-expedited prior authorization, which, in the opinion of a physician with knowledge of the subscriber’s medical condition: (i) could seriously jeopardize the life or health of the subscriber or the ability of the subscriber to regain maximum function; or (ii) could subject the subscriber to severe pain that cannot be adequately managed without the care or treatment that is the subject of the utilization review.