Medical Care Claim definition

Medical Care Claim means a Pre-Service Claim, a Post-Service Claim, a Concurrent Care Decision, or an Urgent Care Claim, as defined in this Section 10.
Sample 1
Medical Care Claim means a Pre-Service Claim, a Post-Service Claim, a Concurrent Care Decision or an Urgent Care Claim.
Sample 1

Examples of Medical Care Claim in a sentence

  • The IME used the following claim forms:♦ UB-04 Claim Form♦ CMS-1500 Claim Form♦ American Dental Association (ADA) 2012 Claim♦ Medicare Crossover Invoice♦ Claim for Targeted Medical Care Claim Form B.

  • In connection with the leave to amend granted by this Court as to the Overcrowding Claim, Failure to Protect Claim, Medical Care Claim, and Jail Conditions Claims, Plaintiff should note that claims for relief as to conditions at CCCF that Plaintiff encountered prior to January 10, 2015 are barred by the statute of limitations.

  • Thus, to the extent that Plaintiff’s criticism of medical care received at CCCF arises merely from his disagreement with that treatment, his Medical Care Claim does not pass constitutional muster.

  • Defendants Have Waived Sovereign Immunity for Plaintiffs’25 Medical Care Claim Because the DVA System Does Not Providean Adequate Remedy.

  • With respect to a Medical Care Claim under an ACA Program, the Claimant has the right to resubmit and pursue the internal appeal of the Claim, in which case, within a reasonable time after the external reviewer or court rejects the claim for immediate review (not to exceed 10 days), the Plan shall provide the Claimant with notice of the opportunity to resubmit and pursue the internal appeal of the claim, and time periods for re-filing the claim shall begin to run upon Claimant’s receipt of such notice.

  • Accordingly, Plaintiff has not satisfied Estelle’s first element for his Medical Care Claim.

  • Therefore, the Court finds that Plaintiff’s Medical Care Claim has failed to state a cause of action under the Fourteenth Amendment.

  • The parties have stipulated to the dismissal of the plaintiff’s “claims against York County and/or any of its employees for a denial of adequate medical care.” Stipulation of Dismissal as to Plaintiff’s Denial of Adequate Medical Care Claim Only (Docket No. 64).

  • Claim for Targeted Medical CareClaim for Targeted Medical Care Claim for Targeted Medical Care • Revised form effective March 1st, 2012• The claim must accurately reflect the total units performed in a month• Must be signed by both the provider and member• It is important that the dates of service do not span more than one calendar month.

  • Given that such allegations are insufficient to plead unconstitutional conditions of confinement as to the adequacy of medical care, the Court will dismiss the Medical Care Claim without prejudice.

Related to Medical Care Claim

  • Medical cannabis means the same as that term is defined in Section 26-61a-102.

  • Medical care means amounts paid for:

  • Emergency medical care provider means an individual who has been trained to provide emergency and nonemergency medical care at the first responder, EMT-basic, EMT-intermediate, EMT-paramedic, paramedic specialist or other certification levels recognized by the department before 1984 and who has been issued a certificate by the department.

  • Medical cannabis card means the same as that term is defined in Section 26-61a-102.

  • Acute care hospital means a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Administrative Services Contractor see HHSC Administrative Services Contractor.

  • Primary care physician means a physician who is a family

  • Medical care facility as used in this title, means any institution, place, building or agency, whether

  • Hospice patient s family" means a hospice patient's immediate family members, including a spouse, brother, sister, child, or parent, and any other relative or individual who has significant personal ties to the patient and who is designated as a member of the patient's family by mutual agreement of the patient, the relative or individual, and the patient's interdisciplinary team.

  • Medical order means a lawful order of a practitioner which may include a

  • Medical physicist means a person trained in evaluating the performance of mammography equipment and facility quality assurance programs and who meets the qualifications for a medical physicist set forth in 41.6(3)“c.”

  • Medical clearance means a physician or other health care

  • Medical examination means the preliminary assessment of a person by an authorized health worker or by a person under the direct supervision of the competent authority, to determine the person’s health status and potential public health risk to others, and may include the scrutiny of health documents, and a physical examination when justified by the circumstances of the individual case;

  • Licensed mental health professional or "LMHP" means a physician, licensed clinical psychologist, licensed professional counselor, licensed clinical social worker, licensed substance abuse treatment practitioner, licensed marriage and family therapist, certified psychiatric clinical nurse specialist, licensed behavior analyst, or licensed psychiatric/mental health nurse practitioner.

  • Respiratory care practitioner means a person who is

  • Medical means belonging to the study and practice of medicine for the prevention, alleviation or management of a physical or mental defect, illness, or condition.

  • Licensed health care professional means a person who possesses a professional medical license that is valid in Oregon. Examples include, but are not limited to, a registered nurse (RN), nurse practitioner (NP), licensed practical nurse (LPN), medical doctor (MD), osteopathic physician (DO), respiratory therapist (RT), physical therapist (PT), physician assistant (PA), or occupational therapist (OT).

  • Mental health professional means a psychiatrist,

  • Medical history means information regarding any:

  • Inpatient hospital services means any health care service provided to a patient who has been admitted to a hospital and is required to remain in that hospital overnight, but does not include any secure forensic mental health services;

  • Medical support means providing health care coverage for a joint child by carrying health care coverage for the joint child or by contributing to the cost of health care coverage, public coverage, unreimbursed medical expenses, and uninsured medical expenses of the joint child.

  • Pharmacy care means medications prescribed by a licensed physician and any health-related services considered medically necessary to determine the need or effectiveness of the medications.

  • Medical control means a person who provides medical supervision to an emergency medical service provider.

  • Authorized medical physicist means an individual who:

  • Outpatient hospital services means preventive, diagnostic, therapeutic, observation, rehabilitation, or palliative services provided to an outpatient by or under the direction of a physician, dentist, or other practitioner by an institution that:

  • Emergency medical care means such medical procedures as:

  • Medical supplies means items for medical use that are suitable for use in a health care facility or in the home and that are disposable or semi-disposable and are non-reusable.