Coverage determination definition

Coverage determination means a determination of the circumstances, if any, under which a health technology will be included as a covered benefit in a state purchased health care program.

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Coverage determination means a determination of the

Coverage determination means a determination of a Relevant Minister under Chapter 3 Part 1 Division 1 of the National Gas Law; Covered Pipeline means a pipeline:

Examples of Coverage determination in a sentence

Coverage determination reviews may include requests to cover non-preferred drugs, obtain Preauthorization for a specific drug, or exceptions to other utilization management requirements, such as quantity limits.
APPENDIX E – DENTAL ALPENA PUBLIC SCHOOLS 007015704-0017, 0018, 0019, 0020, 0021 Effective Date: 07/01/2021 Coverage determination: Claims are subject to dental necessity verification and availability of dental benefits when they are processed, as well as the terms and conditions of the applicable BCBSM certificates and riders.
The Coordination of Eligible Benefits between two or more plans under which an individual is covered after primary and secondary Coverage determination is made.
Tenant, at its sole cost and expense (except as provided hereinbelow), shall be entitled to perform an independent audit to confirm the accuracy of any Tenant's First Priority Coverage determination submitted by Guarantor, provided Tenant provides notice to Guarantor of its intent to perform such audit within ninety (90) days after Guarantor's giving of the Coverage Test Notice to Tenant.

More Definitions of Coverage determination

Coverage determination means a determination of the circumstances, if any, under which a health technology will be included as a covered benefit in a state purchased health care program, as set forth in RCW 70.14.080, as amended.

Coverage determination as defined in RCW 70.14.080 means a determination of the circumstances, if any, under which a health tech- nology will be included as a covered benefit in a state purchased health care program.

Coverage determination means a determination of a relevant Minister under Chapter 3 Part 1 Division 1 ; "coverage recommendation" means a recommendation of the NCC under Chapter 3 Part 1 Division 1 ; "coverage revocation determination" means a determination of a relevant Minister under Chapter 3 Part 1 Division 2 ; "coverage revocation recommendation" means a recommendation of the NCC under Chapter 3 Part 1 Division 2 ; "covered pipeline" means a pipeline—

Coverage determination as defined in RCW 70.14.- 080 means a determination of the circumstances, if any, under which a health technology will be included as a cov- ered benefit in a state purchased health care program((, as set forth in RCW 70.14.080, as amended)).

Coverage determination. ’ means a determination by

Coverage determination means a decision made by clinical personnel on coverage status for a medication.

Coverage determination means with respect to items and services for which coverage may be provided under a health plan, a de- termination of whether or not such items and services are covered or reimbursable under the coverage and terms of the con- tract.

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