Common use of DEFINITIONS OF TERMS USED Clause in Contracts

DEFINITIONS OF TERMS USED. ‌ Admission. This is the medically necessary admission to an inpatient facility for the acute care of illness or injury. Adverse Determination. This means a decision made by us or our designee relating to an admission, extension of stay, or health care service that is partially or wholly adverse to the enrollee, including a decision to deny an admission, extension of stay, or health care service on the basis that it is not medically necessary.