Examples of Episode of care in a sentence
In any event, if an Episode of Care extends thirty (30) days beyond the date the Participant was originally admitted to the facility, the Episode of Care will be considered terminated.
If at any time during an Episode of Care, a Provider determines that any Medically Necessary Service must be performed on an urgent or emergency basis to preserve the life or health of the Participant, Sponsor will be responsible for payment of the Provider’s charges for any such Medically Necessary Service as part of the Episode of Care.
If applicable, a Provider will establish treatment protocols for an Episode of Care and, if needed, the Provider will modify such protocols for a Participant.
Following Provider’s initial review of Participant’s medical records and information, and subject to a physical examination and medical assessment of Participant, as determined necessary by a Provider, a Provider will confirm to EDH whether or not, in Provider’s independent medical opinion, Participant is a suitable candidate for Covered Services during an Episode of Care at a Provider’s location, and Provider will advise EDH of the Diagnosis Case Code related to such Episode of Care.
EDH’s obligations under this Agreement extend only through the end of an Episode of Care.