Concurrent care definition

Concurrent care means care furnished at the same time to a Medicaid recipient by physicians of more than one specialty when the patient's condition requires such care.

Split View

AI-Powered Contracts

Draft, Review & Redline at the Speed of AI

Get StartedBook a Demo

Concurrent care means a situation where in-patient hospital services of more than one Oral and Maxillofacial Surgeon or Dentist are required because of the complexity of the clinical needs of the patient.

Concurrent care or "ongoing care" means an insurer approves an ongoing course of treatment over a specific period or number of treatments.

Examples of Concurrent care in a sentence

• Concurrent care means care that is rendered to you by more than one Physician on the same date or during the same inpatient stay.

• Type of notice Urgent care claim Pre-service claim Post-service claim Concurrent care claim Appeal determinations at each level (us) 36 hours 15 days 30 days As appropriate to type of claim Extensions None None None In most situations you must complete the two levels of appeal with us before you can take these other actions: • Contact the California Department of Managed Health Care to request an investigation of a complaint or appeal.

• Claims and Appeals There are several types of claims, and each has a different procedure described below for sending your claim and appeal to us as described in this “Claims and Appeals” section: Pre-service claims (urgent and non-urgent) Concurrent care claims (urgent and non-urgent) Post-service claims Pre-service claims and appeals Pre-service claims are requests that we provide or pay for a Service that you have not yet received.

• Type of notice Urgent care claim Pre-service claim Post-service claim Concurrent care claim Appeal determinations at each level (us) 36 hours 15 days 30 days As appropriate to type of claim Extensions None None None In most situations you must complete the two levels of appeal with us before you can take these other actions:  Contact the California Department of Managed Health Care to request an investigation of a complaint or appeal.

• Claims and Appeals Procedures There are several types of claims, and each has a different procedure described below for sending your claim and appeal to us as described in this “Claims and Appeals Procedures” section:  Pre-service claims (urgent and non-urgent)  Concurrent care claims (urgent and non-urgent)  Post-service claims When you file an appeal, we will review your claim without regard to our previous adverse benefit determination.

• Claims and Appeals There are several types of claims, and each has a different procedure described below for sending your claim and appeal to us as described in this “Claims and Appeals” section:  Pre-service claims (urgent and non-urgent)  Concurrent care claims (urgent and non-urgent)  Post-service claims Pre-service claims and appeals Pre-service claims are requests that we provide or pay for a Service that you have not yet received.