Presumptive Medical Criteria definition

Presumptive Medical Criteria means objective medical criteria consistent with ARD, which the Trustee will use when determining whether a Claimant qualifies for payment under this TDP.
Sample 1

Examples of Presumptive Medical Criteria in a sentence

  • In order to qualify for payment under this TDP, a Claimant must meet the Exposure Criteria, Coverage Criteria, and Presumptive Medical Criteria described in this Section.

  • A Liquidated Value shall be assigned to each of Claim Levels I – V set forth below, based on the Claim’s qualification under the Exposure Criteria, the Coverage Criteria, and either (a) meeting Presumptive Medical Criteria for the relevant Claim Level, or (b) Exceptional Claim Evaluation.

  • If the Claim meets the Exposure Criteria, Coverage Criteria, and Presumptive Medical Criteria for a given Claim Level, the Asbestos PI Trust shall accept the claim at either (a) the Scheduled Liquidated Value of that Claim Level, or (b) an Exceptional Liquidated Value reached at the Trustee’s discretion, under the Exceptional Claim Evaluation procedures herein.

  • All unresolved disputes over qualification under Exposure Criteria, Coverage Criteria, Presumptive Medical Criteria, Claim Level and/or Exceptional Liquidated Value shall be resolved, at the option of the Claimant, either (a) by binding arbitration at the expense of the challenging Claimant, which arbitration otherwise follows the procedures and rules of the American Arbitration Association, or (b) by the Claimant withdrawing the Claim.

  • An Extraordinary Claim is a Claim which otherwise meets the Coverage Criteria, Exposure Criteria, and Presumptive Medical Criteria, and which, in the Trustee’s sole discretion, is determined to warrant exceptional treatment by reason of liability and causation factors which would be expected to result in substantially higher claim settlement value in the tort claim system than a typical claim qualifying under the Exposure Criteria of this TDP.

Related to Presumptive Medical Criteria

  • Objective medical evidence means reports of examinations or treatments; medical

  • ASAM criteria means the most current edition of the American Society of Addiction Medicine's published criteria for admission to treatment, continued services, and discharge.

  • Objective evidence means standardized patient assessment instruments, outcome measurements tools, or measurable assessments of functional outcome. Use of objective measures at the beginning of treatment, during, and after treatment is recommended to quantify progress and support justifications for continued treatment. The tools are not required but their use will enhance the justification for continued treatment.

  • Medical cannabis dispensary means an organization issued a

  • Design Criteria Professional means a firm who holds a current certificate of registration under Chapter 481 of the Florida Statutes, to practice architecture or landscape architecture, or a firm who holds a current certificate as a registered engineer under Chapter 471 of the Florida Statutes, to practice engineering, and who is employed by or under contract to the District to provide professional architect services, landscape architect services, or engineering services in connection with the preparation of the Design Criteria Package.

  • Review Criteria has the meaning assigned to that term in Section 12.02(b)(i).

  • Selection Criteria means and includes all of the requirements, considerations,

  • Eligibility and selection criteria means criteria for determining:

  • Fitch Criteria means the Collateral Amount shall equal the sum of (i) the product of A multiplied by the xxxx-to-market value of the outstanding Transactions determined by Party A in good faith from time to time, and (ii) the product of B multiplied by the current aggregate notional amount of the outstanding Transactions, where:

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

  • Mid-level practitioner means a certified nurse-midwife engaging in the independent practice of midwifery under the independent practice of midwifery act, an advanced practice registered nurse issued a license pursuant to K.S.A. 65-1131, and amendments thereto, who has authority to prescribe drugs pursuant to a written protocol with a responsible physician under K.S.A. 65-1130, and amendments thereto, or a physician assistant licensed under the physician assistant licensure act who has authority to prescribe drugs pursuant to a written agreement with a supervising physician under K.S.A. 65-28a08, and amendments thereto.

  • Evaluation Criteria means the criteria set out under the clause 27 (Evaluation Process) of this Part C, which includes the Qualifying Criteria, Functional Criteria and Price and Preferential Points Assessment.

  • State Management Committee means a Committee comprising representatives from the Confederation of Western Australian Industry, the Trades and Labor Council of Western Australia, Technical and Further Education (TAFE) and the relevant Federal and State Government Departments which approve traineeship arrangements by agreement of each of the parties. The State Management Committee may be established pursuant to the provisions of the Industrial and Commercial Training Act, 1975 or any amendment to or substitution of that Act, provided that any Committee or body established in lieu of the State Management Committee has the same representatives structure and decision making processes as that Committee.

  • Medical evaluation means the process of assessing an individual's health status that includes a medical history and a physical examination of an individual conducted by a licensed medical practitioner operating within the scope of his license.

  • Investment Criteria The criteria specified in Section 12.2(a).

  • PCP means Primary Care Provider.

  • Medical history means information regarding any:

  • Non-Participating Home Infusion Therapy Provider means a Home Infusion Therapy Provider who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Non-Participating Certified Nurse Practitioner means a Certified Nurse Practitioner who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Examination Criteria means the loan classification criteria employed by, or any applicable regulations of, the Assuming Institution’s Chartering Authority at the time such action is taken, as such criteria may be amended from time to time.

  • Performance and Guarantee Test means all operational checks and tests required to determine and demonstrate capacity, efficiency and operating characteristics as specified in the Contract Documents.

  • graduate psychiatric nurse means a person whose name is entered on the register of graduate psychiatric nurses of the College of Registered Psychiatric Nurses of Manitoba. The terms of this Agreement shall be applicable to the graduate nurse, the graduate practical nurse, graduate psychiatric nurse, and graduate nurse practitioner, except as otherwise specified in the Collective Agreement.

  • Non-Administrator Dialysis Facility means a Dialysis Facility which does not have an agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan but has been certified in accordance with the guidelines established by Medicare.

  • Nomination Criteria means the criteria made up of the Over-Riding Nomination Criteria andthe Specific Nomination Factors, and is also referred to as “this Criteria”.

  • Participating Certified Nurse Practitioner means a Certified Nurse Practitioner who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Medical Specialist means any medical practitioner who is vocationally registered by the Medical Council under the Health Practitioners Competence Assurance Act 2003 in one of the approved branches of medicine and who is employed in either that branch of medicine or in a similar capacity with minimal oversight.