Clinically Stable definition
Clinically Stable means that no material deterioration of the Emergency Medical Condition is likely, within reasonable medical probability, to result from or occur during your discharge or transfer from the hospital). With respect to a pregnant woman who is having contractions, when there is inadequate time to safely transfer her to another hospital before delivery (or the transfer may pose a threat to the health or safety of the woman or unborn child), Clinically Stable means after delivery (including the placenta). Claim Filing and Copayments Non-KP specialty physicians and facilities who provide care when you are referred by your PCP should forward all claims to us. We reserve the right to send benefit payments to you, to a provider, or if you have other coverage besides this plan, to the other carrier. You are responsible for your Deductible (if applicable) and Cost Shares. For a summary of your Deductibles or Cost Shares, see the Benefit Summary section in the front of this Guide, and Chapter 3: Benefit Description.
Clinically Stable means that you are considered clinically stable by your treating physician who believes that, within a reasonable medical probability and in accordance with recognized medical standards, that you are safe for discharge or transfer and that your condition is not expected to get materially worse during or as a result of