Service Authorization definition

Service Authorization means that Open Ecosystem Partner needs to meet specific qualification requirements for the products included in a “Service” Product Family that Open Ecosystem Partner wants to promote and offer Services for as set out in detail in the Open Ecosystem Program Guide.

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Service Authorization means a managed care Enrollee’s request, or a Provider’s request on behalf of an Enrollee, for the provision of services, and the MCO’s determination of the Medical Necessity for the medical service prior to the delivery or payment of the service.

Service Authorization means that Partner needs to meet specific qualification requirements for the products included in a “Service” Product Family that Partner wants to promote and offer Services for as set out in detail in the PartnerEdge Program Guide and the applicable RSPI.

Examples of Service Authorization in a sentence

IDT staff will prepare service authorizations in accordance with DHS- approved service authorization policies and procedures and Section K., Service Authorization, of this article.
Standard Service Authorization Decisions Standard service authorization decisions shall be made no later than fourteen (14) calendar days following receipt of the request for the service unless the IHCP extends the timeframe for up to fourteen (14) additional calendar days.
In the event that the Contractor fails to make a Service Authorization decision within the prescribed timeframes, such failure shall constitute a denial of services and shall be considered an Adverse Benefit Determination.
The total amount to be paid under this Agreement for the Services and deliverables pursuant to Consultant Service Authorization (“CSA), Attachment D, shall not exceed , unless otherwise approved in writing in accordance with the terms and conditions of this Agreement.

More Definitions of Service Authorization

Service Authorization means a process through which a request for provisional approval of coverage is submitted to the Contractor or the Department for review.

Service Authorization means the process of service necessity determination and service authori- zation of scope, amount and duration by the review organization.

Service Authorization means the process of determining service necessity and the level of care and number of units of service to be provided to a child.

Service Authorization. A Member’s request for the provision of a service.

Service Authorization means an authorization by CDDP of the DD Services that CDDP is responsible to authorize according to Exhibit B Part 2, as identified in an Individual’s ISP, and entered for billing purposes into eXPRS via POC or a CPA.

Service Authorization. A managed care Member’s request for the provision of services

Service Authorization means the approval required from the designated authority for reimbursement for certain Medicaid services.

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