{"component": "clause", "props": {"groups": [{"size": 22, "samples": [{"hash": "kviZQZK2e4F", "uri": "/contracts/kviZQZK2e4F#anesthesia-services", "label": "Subscriber Agreement", "score": 27.950176239, "published": true}, {"hash": "6P9QvtbGLaU", "uri": "/contracts/6P9QvtbGLaU#anesthesia-services", "label": "Subscriber Agreement", "score": 27.950176239, "published": true}, {"hash": "ks9SM7v8Ix", "uri": "/contracts/ks9SM7v8Ix#anesthesia-services", "label": "Subscriber Agreement", "score": 27.7038135529, "published": true}], "snippet_links": [{"key": "we-cover", "type": "clause", "offset": [0, 8]}, {"key": "medically-necessary", "type": "definition", "offset": [9, 28]}, {"key": "services-received", "type": "clause", "offset": [40, 57]}, {"key": "the-services", "type": "definition", "offset": [88, 100]}, {"key": "allowance-for", "type": "clause", "offset": [134, 147]}, {"key": "service-includes", "type": "clause", "offset": [163, 179]}, {"key": "the-procedure", "type": "clause", "offset": [220, 233]}, {"key": "time-spent", "type": "clause", "offset": [318, 328]}, {"key": "surgical-procedure", "type": "clause", "offset": [421, 439]}, {"key": "local-anesthesia", "type": "definition", "offset": [449, 465]}, {"key": "the-pre", "type": "clause", "offset": [478, 485]}, {"key": "this-agreement", "type": "clause", "offset": [510, 524]}, {"key": "office-visits", "type": "clause", "offset": [532, 545]}], "snippet": "We cover medically necessary anesthesia services received from an anesthesiologist when the services are for a covered procedure. Our allowance for the anesthesia service includes the following: \uf0b7 anesthesia care during the procedure; \uf0b7 time an anesthesiologist routinely spends with a patient in the recovery room; \uf0b7 time spent preparing the patient for surgery; and \uf0b7 pre-operative consultations. Our allowance for the surgical procedure includes local anesthesia. Other than the pre-operative office visit, this agreement covers office visits or office consultations to anesthesiologists as an office visit. See Section 3.24 - Office Visits.", "hash": "0adfefcdba93b56d761e4cfd4278ed6d", "id": 2}, {"size": 5, "samples": [{"hash": "h3AiOb7RToz", "uri": "/contracts/h3AiOb7RToz#anesthesia-services", "label": "Member Benefit Agreement", "score": 25.3832988739, "published": true}, {"hash": "bAfZnQGZmUI", "uri": "/contracts/bAfZnQGZmUI#anesthesia-services", "label": "Member Benefit Agreement", "score": 25.3832988739, "published": true}, {"hash": "9Ge0QJmgkqW", "uri": "/contracts/9Ge0QJmgkqW#anesthesia-services", "label": "Member Benefit Agreement", "score": 25.3449687958, "published": true}], "snippet_links": [{"key": "the-plan", "type": "clause", "offset": [0, 8]}, {"key": "benefits-for", "type": "clause", "offset": [18, 30]}, {"key": "covered-service", "type": "clause", "offset": [71, 86]}, {"key": "an-exception", "type": "clause", "offset": [106, 118]}, {"key": "no-benefits", "type": "clause", "offset": [153, 164]}, {"key": "topical-anesthesia", "type": "definition", "offset": [192, 210]}], "snippet": "The Plan provides Benefits for anesthesia only if administered while a Covered Service is being provided. An exception is provided under section 4.B.17. No Benefits are available for local or topical anesthesia unless it is part of a regional nerve block.", "hash": "a34932323d40a934a09867648f7ed9f8", "id": 6}, {"size": 12, "samples": [{"hash": "9qAowJ9Sj2L", "uri": "/contracts/9qAowJ9Sj2L#anesthesia-services", "label": "Comprehensive Major Medical Preferred Provider High Deductible Subscription Agreement", "score": 19.6415596008, "published": true}, {"hash": "lzxWf8SQ6LF", "uri": "/contracts/lzxWf8SQ6LF#anesthesia-services", "label": "Comprehensive Major Medical Preferred Provider Subscription Agreement", "score": 19.0, "published": true}, {"hash": "dY3LNcmuabf", "uri": "/contracts/dY3LNcmuabf#anesthesia-services", "label": "Comprehensive Major Medical Preferred Provider Subscription Agreement", "score": 19.0, "published": true}], "snippet_links": [{"key": "administration-of", "type": "clause", "offset": [29, 46]}, {"key": "ordered-by", "type": "definition", "offset": [58, 68]}, {"key": "professional-provider", "type": "clause", "offset": [83, 104]}, {"key": "a-professional", "type": "clause", "offset": [121, 135]}, {"key": "assistant-at-surgery", "type": "clause", "offset": [171, 191]}, {"key": "surgical-procedures", "type": "definition", "offset": [261, 280]}, {"key": "outpatient-setting", "type": "definition", "offset": [287, 305]}], "snippet": "coverage is provided for the administration of anesthesia ordered by the attending professional provider and rendered by a professional provider other than the surgeon or assistant at surgery. Benefits are provided for the administration of anesthesia for oral surgical procedures in an outpatient setting when ordered and administered by the attending preferred professional provider.", "hash": "d45e90b5b6711932e0862e83c3fa9c68", "id": 4}, {"size": 9, "samples": [{"hash": "6GskUpvamAo", "uri": "/contracts/6GskUpvamAo#anesthesia-services", "label": "Member Benefit Agreement", "score": 31.6744918823, "published": true}, {"hash": "cYM6z0D6qvI", "uri": "/contracts/cYM6z0D6qvI#anesthesia-services", "label": "Member Benefit Agreement", "score": 27.3696098328, "published": true}, {"hash": "llbulkwOXO4", "uri": "/contracts/llbulkwOXO4#anesthesia-services", "label": "Member Benefit Agreement", "score": 26.8590011597, "published": true}], "snippet_links": [{"key": "the-plan", "type": "clause", "offset": [0, 8]}, {"key": "benefits-for", "type": "clause", "offset": [18, 30]}, {"key": "covered-service", "type": "clause", "offset": [71, 86]}, {"key": "an-exception", "type": "clause", "offset": [106, 118]}], "snippet": "The Plan provides Benefits for anesthesia only if administered while a Covered Service is being provided. An exception is provided under section 4.B.", "hash": "3f65374d209f047612891fabcb8952ba", "id": 5}, {"size": 16, "samples": [{"hash": "vKt1aOM4iH", "uri": "/contracts/vKt1aOM4iH#anesthesia-services", "label": "Health Insurance Agreement", "score": 30.2331409454, "published": true}, {"hash": "bgY74ZSLul4", "uri": "/contracts/bgY74ZSLul4#anesthesia-services", "label": "Group Health Insurance Agreement", "score": 30.2331409454, "published": true}, {"hash": "7fdi8brUIMn", "uri": "/contracts/7fdi8brUIMn#anesthesia-services", "label": "Group Health Insurance Agreement", "score": 30.2331409454, "published": true}], "snippet_links": [{"key": "administration-of-anesthetics", "type": "clause", "offset": [24, 53]}, {"key": "regional-anesthesia", "type": "definition", "offset": [76, 95]}], "snippet": "Shall be defined as the administration of anesthetics to achieve general or regional anesthesia and related resuscitative procedures.", "hash": "9e1e87183b139c3929afee0fa8568833", "id": 3}, {"size": 5, "samples": [{"hash": "xa5Ked8ree", "uri": "/contracts/xa5Ked8ree#anesthesia-services", "label": "Subscriber Agreement", "score": 21.4352416992, "published": true}, {"hash": "41ksnhcffxl", "uri": "/contracts/41ksnhcffxl#anesthesia-services", "label": "Subscriber Agreement", "score": 21.4352416992, "published": true}], "snippet_links": [{"key": "we-cover", "type": "clause", "offset": [0, 8]}, {"key": "medically-necessary", "type": "definition", "offset": [9, 28]}, {"key": "services-received", "type": "clause", "offset": [40, 57]}, {"key": "the-services", "type": "definition", "offset": [88, 100]}, {"key": "allowance-for", "type": "clause", "offset": [134, 147]}, {"key": "service-includes", "type": "clause", "offset": [163, 179]}, {"key": "the-procedure", "type": "clause", "offset": [220, 233]}, {"key": "time-spent", "type": "clause", "offset": [318, 328]}, {"key": "surgical-procedure", "type": "clause", "offset": [421, 439]}, {"key": "local-anesthesia", "type": "definition", "offset": [449, 465]}, {"key": "the-pre", "type": "clause", "offset": [478, 485]}, {"key": "this-agreement", "type": "clause", "offset": [510, 524]}, {"key": "office-visits", "type": "clause", "offset": [532, 545]}, {"key": "standing-ambulatory-surgi", "type": "clause", "offset": [701, 726]}, {"key": "in-connection-with", "type": "clause", "offset": [734, 752]}, {"key": "the-hospital", "type": "clause", "offset": [798, 810]}, {"key": "dental-services", "type": "definition", "offset": [1008, 1023]}], "snippet": "We cover medically necessary anesthesia services received from an anesthesiologist when the services are for a covered procedure. Our allowance for the anesthesia service includes the following: \u2022 anesthesia care during the procedure; \u2022 time an anesthesiologist routinely spends with a patient in the recovery room; \u2022 time spent preparing the patient for surgery; and \u2022 pre-operative consultations. Our allowance for the surgical procedure includes local anesthesia. Other than the pre-operative office visit, this agreement covers office visits or office consultations to anesthesiologists as an office visit. See Section 3.23 - Office Visits. Anesthesia services when rendered at a hospital or free-standing ambulatory surgi-center in connection with a dental service are covered when the use of the hospital or free-standing ambulatory surgi-center is medically necessary and the setting in which the service received is determined to be appropriate. Preauthorization is recommended for this service. The dental services will remain non-covered. See Section 4.17.", "hash": "8f930b4f77e9fb690cb453200a3eb502", "id": 7}, {"size": 265, "samples": [{"hash": "fccIllYVYYf", "uri": "/contracts/fccIllYVYYf#anesthesia-services", "label": "Subscriber Agreement", "score": 35.8283280117, "published": true}, {"hash": "grYWINzHu5z", "uri": "/contracts/grYWINzHu5z#anesthesia-services", "label": "Subscriber Agreement", "score": 35.817855835, "published": true}, {"hash": "bvAzSGtCvQO", "uri": "/contracts/bvAzSGtCvQO#anesthesia-services", "label": "Subscriber Agreement", "score": 35.7877502441, "published": true}], "snippet_links": [{"key": "this-plan", "type": "definition", "offset": [0, 9]}, {"key": "local-anesthesia", "type": "definition", "offset": [29, 45]}, {"key": "services-received", "type": "clause", "offset": [46, 63]}, {"key": "surgical-procedure", "type": "clause", "offset": [98, 116]}, {"key": "healthcare-service", "type": "definition", "offset": [130, 148]}, {"key": "office-visits", "type": "clause", "offset": [167, 180]}, {"key": "prior-to-a", "type": "clause", "offset": [244, 254]}], "snippet": "This plan covers general and local anesthesia services received from an anesthesiologist when the surgical procedure is a covered healthcare service. This plan covers office visits or office consultations with an anesthesiologist when provided prior to a scheduled covered surgical procedure.", "hash": "255acadb0bd215a3bbc9a60c51070a31", "id": 1}, {"size": 4, "samples": [{"hash": "4Naxufj9Dsz", "uri": "/contracts/4Naxufj9Dsz#anesthesia-services", "label": "Internal Partnership Agreement", "score": 27.0762500763, "published": true}, {"hash": "3AaMjISL7zl", "uri": "/contracts/3AaMjISL7zl#anesthesia-services", "label": "Partnership Agreement", "score": 23.6507873535, "published": true}, {"hash": "8aMVEeZ7eVp", "uri": "/contracts/8aMVEeZ7eVp#anesthesia-services", "label": "Internal Partnership Agreement", "score": 20.6288890839, "published": true}], "snippet_links": [{"key": "anesthetic-agent", "type": "definition", "offset": [27, 43]}, {"key": "effect-of", "type": "clause", "offset": [88, 97]}, {"key": "characterized-by", "type": "definition", "offset": [138, 154]}, {"key": "loss-of", "type": "clause", "offset": [176, 183]}, {"key": "by-or-under-the-direction-of-a-physician-or-dentist", "type": "definition", "offset": [240, 291]}, {"key": "in-connection-with", "type": "clause", "offset": [292, 310]}, {"key": "obstetrical-care", "type": "definition", "offset": [340, 356]}, {"key": "appealable-issue", "type": "definition", "offset": [438, 454]}, {"key": "questions-of-fact", "type": "clause", "offset": [465, 482]}, {"key": "in-favor-of", "type": "clause", "offset": [502, 513]}, {"key": "appealing-party", "type": "clause", "offset": [518, 533]}, {"key": "the-authorization", "type": "clause", "offset": [551, 568]}, {"key": "authorized-provider", "type": "definition", "offset": [608, 627]}, {"key": "in-accordance-with", "type": "clause", "offset": [628, 646]}, {"key": "in-dispute", "type": "definition", "offset": [711, 721]}, {"key": "disputed-facts", "type": "clause", "offset": [843, 857]}], "snippet": "The administra- tion of an anesthetic agent by injection or inhalation, the purpose and effect of which is to produce surgical anesthesia characterized by muscular relaxation, loss of sensation, or loss of conscious- ness when administered by or under the direction of a physician or dentist in connection with otherwise covered surgery or obstetrical care, or shock therapy. Anesthesia services do not in- clude hypnosis or acupuncture. Appealable issue. Disputed questions of fact which, if resolved in favor of the appealing party, would result in the authorization of CHAMPUS benefits, or approval as an authorized provider in accordance with this part. An appeal- able issue does not exist if no facts are in dispute, if no CHAMPUS benefits would be payable, or if there is no au- thorized provider, regardless of the res- olution of any disputed facts. See", "hash": "c1417c5b43c59411e5f69288d778bb59", "id": 8}, {"size": 4, "samples": [{"hash": "bEY8ianIVfR", "uri": "/contracts/bEY8ianIVfR#anesthesia-services", "label": "Medicaid Managed Care Services Agreement (Molina Healthcare Inc)", "score": 21.0, "published": true}, {"hash": "eqUzL5ppZ80", "uri": "/contracts/eqUzL5ppZ80#anesthesia-services", "label": "Benefit Package Agreement", "score": 19.5057029724, "published": true}, {"hash": "7VunUUN1mx9", "uri": "/contracts/7VunUUN1mx9#anesthesia-services", "label": "Medicaid Managed Care Services Agreement (BHC Physician Services of Kentucky LLC)", "score": 18.0, "published": true}], "snippet_links": [{"key": "benefit-package", "type": "clause", "offset": [4, 19]}, {"key": "monitoring-services", "type": "definition", "offset": [44, 63]}, {"key": "for-performance", "type": "clause", "offset": [74, 89]}, {"key": "diagnostic-procedures", "type": "definition", "offset": [105, 126]}, {"key": "program-manual", "type": "definition", "offset": [147, 161]}], "snippet": "The benefit package includes anesthesia and monitoring services necessary for performance of surgical or diagnostic procedures as set forth in MAD Program Manual Section MAD-714, ANESTHESIA SERVICES.", "hash": "ce155204ab77e6af0f5b6e01af082d14", "id": 9}, {"size": 3, "samples": [{"hash": "fI2ETCalVe3", "uri": "/contracts/fI2ETCalVe3#anesthesia-services", "label": "Partnership Agreements", "score": 29.763792038, "published": true}, {"hash": "fxzMZiPyG2i", "uri": "/contracts/fxzMZiPyG2i#anesthesia-services", "label": "Partnership Agreements", "score": 27.7946510315, "published": true}, {"hash": "375BpR48iRz", "uri": "/contracts/375BpR48iRz#anesthesia-services", "label": "Partnership Agreements", "score": 27.1246623993, "published": true}], "snippet_links": [{"key": "anesthetic-agent", "type": "definition", "offset": [27, 43]}, {"key": "effect-of", "type": "clause", "offset": [88, 97]}, {"key": "appealable-issue", "type": "definition", "offset": [138, 154]}, {"key": "questions-of-fact", "type": "clause", "offset": [165, 182]}, {"key": "in-favor-of", "type": "clause", "offset": [202, 213]}, {"key": "appealing-party", "type": "clause", "offset": [218, 233]}, {"key": "the-authorization", "type": "clause", "offset": [251, 268]}, {"key": "authorized-provider", "type": "definition", "offset": [308, 327]}, {"key": "in-accordance-with", "type": "clause", "offset": [328, 346]}, {"key": "in-dispute", "type": "definition", "offset": [411, 421]}, {"key": "disputed-facts", "type": "clause", "offset": [543, 557]}], "snippet": "The administra- tion of an anesthetic agent by injection or inhalation, the purpose and effect of which is to produce surgical anesthesia Appealable issue. Disputed questions of fact which, if resolved in favor of the appealing party, would result in the authorization of CHAMPUS benefits, or approval as an authorized provider in accordance with this part. An appeal- able issue does not exist if no facts are in dispute, if no CHAMPUS benefits would be payable, or if there is no au- thorized provider, regardless of the res- olution of any disputed facts. 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