Obstetrical Delivery Clause Samples
The Obstetrical Delivery clause defines the terms and conditions under which obstetrical (childbirth-related) services are provided, typically within a healthcare or insurance agreement. It outlines the scope of covered services, such as labor, delivery, and immediate postpartum care, and may specify any limitations, exclusions, or requirements for pre-authorization. This clause ensures that both the provider and the patient understand what aspects of obstetrical care are included, thereby reducing misunderstandings and clarifying financial and service responsibilities.
Obstetrical Delivery. The Health Plan shall develop and use generally accepted and approved protocols for both low-risk and high-risk deliveries reflecting the highest standards of the medical profession, including Healthy Start and prenatal screening, and ensure that all providers use these protocols.
(1) The Health Plan shall ensure that all providers document preterm delivery risk assessments in the enrollee’s medical record by week twenty-eight (28).
(2) If the provider determines that the enrollee’s pregnancy is high risk, the Health Plan shall ensure that the provider’s obstetrical care during labor and delivery includes preparation by all attendants for symptomatic evaluation and that the enrollee progresses through the final stages of labor and immediate postpartum care.
Obstetrical Delivery. The PSN shall develop and use generally accepted and approved protocols for both low risk and high risk deliveries which reflect the highest standards of the medical profession, including Healthy Start and prenatal screening, and ensure that all Providers use these protocols.
i. The PSN shall ensure that all Providers document preterm delivery risk assessments in the Enrollee‘s Medical Record by the twenty-eighth (28th) week.
ii. If the Provider determines that the Enrollee‘s pregnancy is high risk, the PSN shall ensure that the Provider‘s obstetrical care during labor and delivery includes preparation by all attendants for symptomatic evaluation and that the Enrollee progresses through the final stages of labor and immediate postpartum care.