Common use of Diagnostic Criteria Clause in Contracts

Diagnostic Criteria. a. All provider claims are restricted to claims for Enrollees with an ICD-9CM diagnosis code of 290 through 290.43; 293 through 298.9; 300 through 301.9; 302.7, 306.51 through 312.4; 312.81 through 314.9; 315.3, 315.31, 315.5, 315.8, and 315.9.

Appears in 3 contracts

Samples: Ahca Contract, Wellcare Health Plans, Inc., Wellcare Health Plans, Inc.

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Diagnostic Criteria. a. All provider claims are restricted to claims for Enrollees beneficiaries with an ICD-9CM diagnosis code of 290 through 290.43; 293 through 298.9; 300 through 301.9; 302.7, 306.51 through 312.4; 312.81 through 314.9; 315.3, 315.31, 315.5, 315.8, and 315.9.

Appears in 2 contracts

Samples: Wellcare Health Plans, Inc., Wellcare Health Plans, Inc.

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