Radiological and Nuclear Imaging Clause Samples

The 'Radiological and Nuclear Imaging' clause defines the terms and conditions under which radiological and nuclear imaging services are provided, used, or reimbursed within an agreement. It typically outlines the types of imaging procedures covered, such as X-rays, CT scans, MRIs, or PET scans, and may specify requirements for provider qualifications, pre-authorization, or compliance with safety standards. This clause ensures that both parties understand the scope and limitations of imaging services, helping to manage costs, ensure patient safety, and clarify responsibilities regarding advanced diagnostic procedures.
Radiological and Nuclear Imaging. The following radiological procedures, when performed on an outpatient, non-emergency basis, require prior authorization under the Benefits Management Program. See the Benefits Management Program section for complete information.
Radiological and Nuclear Imaging. Podiatric Benefits
Radiological and Nuclear Imaging. The following radiological procedures, when performed on an outpatient, non-emergency basis, require prior authorization under the Benefits Management Program. See the Benefits Benefits are provided for enteral formulas, related medical supplies, and Special Food Products for the dietary treatment of phenylketonuria (PKU). All formulas and Special Food Products must be prescribed and ordered through the appropriate health care professional.
Radiological and Nuclear Imaging. The following radiological procedures, when performed on an outpatient, non-emergency basis, must be arranged and authorized through the Member’s Personal Physician: