Optum definition

Optum means the Prescription Drug Benefit Administrator.
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Optum means Optum Limited T/A Optum Plumbing & Energy Solutions, its successors and assigns or any person acting on behalf of and with the authority of Optum Limited T/A Optum Plumbing & Energy Solutions.
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Optum has the meaning set forth in the recitals of this Agreement.
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Examples of Optum in a sentence

  • Optum will notify the provider of the incomplete submission and request that the provider resubmit with additional clinical information.

  • Administrative services provided by UnitedHealthcare Insurance Company, United HeathCare Services, Inc., PacifiCare Health Plan Administrators, Inc., Prescription Solutions or Optum Health Care Solutions, Inc.

  • A lower level of care in which a client may be effectively treated is unavailable, an intensified schedule of ambulatory care or a change in the treatment plan has not proven effective, or community support services that might augment ambulatory mental health services and pre-empt the need for SNF Treatment is unavailable, insufficient, or inadequate.Exceptions to criteria may be made by Optum Medical Director after consultation with County Medical Director and COR.

  • The national Optum network manual generally applies to all types of business.

  • If you have not already done so, please create an Optum ID when at the log in screen in Jarvis.

  • Follow the prompts accordingly to complete creation of your Optum ID.

  • To request a SNF patch the hospital completes an SNF- LTC and submits the packet to Optum.

  • The case manager shall notify the facility and the Optum LTC Coordinator of the discharge and transportation date and time.

  • Once Optum has established that the referred individual meets the admittance requirements for SF/LTC, Optum will provide the clinical packet to SF/LTC facilities.

  • Certification must be obtained from the County LTC Optum that funds are available to support the placement, by his or her signature on the “Short/Doyle” form.


More Definitions of Optum

Optum has the meaning set forth in the recitals.
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Optum means “Customer,” except in the Whereas clauses,
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Optum means OptumInsight, Inc. All other terms shall remain unchanged.
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Related to Optum

  • Orthotics means the science and practice of evaluating, measuring, designing, fabricating, assembling, fitting, adjusting, or servicing an orthosis under an order from a licensed physician or podiatrist for the correction or alleviation of neuromuscular or musculoskeletal dysfunction, disease, injury, or deformity.

  • T&Cs means these terms and conditions.

  • CRM means the DDA Case Resource Manager.

  • FIS means free into store delivery, which requires the Supplier to pay all costs and be responsible for all requirements associated with the supply and delivery of Goods to the Company at the delivery site described in the Order, including all costs associated with transport, insurances, licences, authorisations, duties and taxes.

  • Patients means both Public Patients and the Private Patients (referred by private doctors/private hospitals);

  • Dell means Dell Inc., a Delaware corporation.

  • PRN means those medications and treatments that have been ordered by a qualified practitioner to be administered as needed.

  • LTC shall have the meaning set forth in the introductory paragraph hereof.

  • Siemens means Siemens AG (Germany) and its Affiliates.

  • DCF means Day Count Fraction;

  • biodiversity means the variability among living organisms from all sources including, inter alia, terrestrial, marine and other aquatic ecosystems and the ecological complexes of which they are part; this includes diversity within species, between species and of ecosystems;

  • Speech pathologist means a person who engages in the application of principles, methods, and procedures for the measurement, testing, evaluation, prediction, consultation, counseling, instruction, habilitation, rehabilitation, or remediation related to the development and disorders of speech, fluency, voice, or language for the purpose of nonmedically evaluating, preventing, ameliorating, modifying, or remediating such disorders and conditions in individuals or groups of individuals.

  • Behavioral health provider means a person licensed under 34 chapter 18.57, 18.57A, 18.71, 18.71A, 18.83, 18.205, 18.225, or 18.79

  • Teletherapy means therapeutic irradiation in which the source of radiation is at a distance from the body.

  • Accenture means the Accenture entity that is a party to the Agreement and its Affiliates (collectively, “Accenture”).

  • 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.

  • Telehealth means the mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-managements of a patient’s health care while the patient is at the originating site and the health care provider is at a distant site. Telehealth facilitates patient self-management and caregiver support for patients and includes synchronous interactions and asynchronous store and forward transfers.

  • Orthodontic means a type of specialist dental treatment carried out by an orthodontist that diagnoses, prevents and corrects mispositioned teeth and jaws and misaligned bite patterns.

  • HIV means human immunodeficiency virus.

  • Anesthesiologist means a physician granted clinical privileges to administer anesthesia.

  • Home health aide services means the personal care and maintenance activities provided to individuals for the purpose of promoting normal standards of health and hygiene.

  • Transplant hospital means a hospital that furnishes organ transplants and other medical and surgical specialty services required for the care of transplant patients.

  • Client means the Project lead of technical wing of the Purchaser for whose’ particular project the Goods / Services have been procured or any other person, duly appointed in writing, by the Client, for the time being or from time to time, to act as Client for the purposes of the Contract.

  • MHSA means the law that provides funding for expanded community Mental Health 22 Services. It is also known as “Proposition 63.”

  • Network pharmacy means any pharmacy that has an agreement to accept our pharmacy allowance for prescription drugs and diabetic equipment/supplies covered under this agreement. All other pharmacies are NON-NETWORK PHARMACIES. The one exception and for the purpose of specialty Prescription Drugs, only specialty pharmacies that have an agreement to accept our pharmacy allowance are network pharmacies and all others pharmacies are non-network pharmacies.

  • Pharmacy services means the practice of pharmacy as defined in chapter 18.64 RCW and includes any drugs or devices as defined in chapter 18.64 RCW.