Report required definition

Report required means that these services will be paid only in well documented circumstances and documentation of the circumstances must be submitted with the claim.
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Report required means that these services will be paid only in unusual circumstances and documentation of the circumstances must be submitted with the claim. “Periodontal charting required” means that complete periodontal charting must be submitted for review. Note: The requirement for providers to submit X-rays and other clinical documentation for certain specified procedures, as indicated throughout this document, may be relaxed by United Concordia for those providers who havebeen selected for a program designed for qualifying participating providers. Note: For OCONUS claims, the submission of X-rays and periodontal charting is not required unless specifically requested by United Concordia. All claims received from the OCONUS service area will be processed without a “report” requirement.Diagnostic ServicesDiagnostic Services Codes Figure 8.1 CodeDescription of ServiceD0120*Periodic oral evaluation— established patientD0140Limited oral evaluation—problem focused D0145*Oral evaluation for a patient under three years of age and counseling with primary caregiverD0150*Comprehensive oral evaluation— new or established patient D0160 RDetailed and extensive oral evaluation—problem focused, by report D0180Comprehensive periodontal evaluation—new or established patientD0210*Intraoral—complete series (including bitewings)D0220*Intraoral—periapical first filmD0230*Intraoral—periapical—each additional filmD0240*Intraoral—occlusal filmD0250Extraoral—first filmD0260Extraoral—each additional filmD0270*Bitewing—single filmD0272*Bitewings—two filmsD0273*Bitewings—three filmsD0274*Bitewings—four filmsD0290Posterior-anterior or lateralskull and facial bone survey filmD0330*Panoramic filmD0340Cephalometric filmD0425*Caries susceptibility testsR = Report requiredSECTION 8TDP BENEFITS AND EXCLUSIONS* Payments for these services are not applied against the enrollee’s annual maximum benefit.Patient-specific rationale (specific signs or symptoms) is required when submitting a claim for a panoramic film or full series of X-rays for a patient under age 5. Benefits and Limitations for Diagnostic Services
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Examples of Report required in a sentence

  • In addition to the Annual Report required in Section 3.3, the Committee may report to the Board from time to time in order to advise the Board on the activities of the Committee.

  • The post-TRE toxicity tests must be conducted in accordance with the procedures in Part I.D.1. The results of these tests must be submitted as part of the final TRE Report required under Part I.D.2.d.

  • Item 1.02 Exhibit The Conflict Minerals Report required by Item 1.01 is filed as Exhibit 1.01 to this Form SD.

  • Report required by Labour Commissioner: The Contractor shall submit, at the request of the Labour Commissioner or of the Assistant Commissioner of the State such returns as may be called for from time to time in respect of labour employed by the Contractor and by his subcontractors in the execution of the Contract.

  • To prepare the Compensation Committee Report required by the rules and regulations of the SEC, if any, for inclusion in the Company’s annual proxy statement or annual report on Form 10-K.

  • Item 1.02 ExhibitThe Conflict Minerals Report required by Item 1.01 is filed as Exhibit 1.01 to this Form SD.

  • The selected consultant will be required to report all DBE participation through the DBE Quarterly Report required in the supplemental specification.

  • The permittee shall include copies of the completed survey forms, along with a written description of the identified changes in operations and/or volume and nature of the discharge from each IU, with the Annual Report required pursuant to Part III.C.12.

  • Petitioner shall also file with the Commission any Annual Report required to be filed with FERC and provide the Commission such other information as we may from time to time require from other Indiana public utilities.

  • This is in addition to the similarly titled Business Entity Report required by the Indiana Secretary of State.

Related to Report required

  • Quarterly Compliance Certificate has the meaning specified in Section 4.1(d) of the Base Indenture.

  • Assessment of Compliance As defined in Section 3.21.

  • Reporting Requirement By January 31, 2017, the District will provide for OCR’s review and approval the Web Accessibility Policy drafted consistent with Item 1.

  • Reporting Requirements As defined in Section 11.15.

  • Report Date means the third Business Day before the related Distribution Date.

  • Payment Requirement means the amount specified as being applicable to the Reference Entity in the Standard or its equivalent in the relevant Obligation Currency (or, if no such amount is specified, USD 1,000,000 or its equivalent in the relevant Obligation Currency) in either case as of the occurrence of the relevant Failure to Pay or Potential Failure to Pay, as applicable.

  • Tax Compliance Certificate as defined in Section 5.9.2(b)(iii).

  • Annual Statement of Compliance As defined in Section 3.13.

  • FILOT Act Minimum Investment Requirement means, with respect to the Project, an investment of at least $2,500,000 by the Company, or of at least $5,000,000 by the Company and any Sponsor Affiliates in the aggregate, in Economic Development Property.

  • Attestation Report As defined in Section 3.17.

  • Progress Assessment Report (PAR means the monthly compliance report to Owner verifying compliance with the HUB subcontracting plan (HSP).

  • U.S. Tax Compliance Certificate has the meaning specified in Section 3.01(e)(ii)(B)(III).

  • Program Requirements means certain minimum program entry requirements as well as ongoing program requirements, to be fulfilled by Partner, some of which are general PartnerEdge requirements, some of which are specific for the “Sell Engagement” and some of which are specific for the different “Cloud” Product Families, including, without limitation payment of the Program Fee(s), meeting certain minimum annual revenue requirements, upholding a Sell Authorization for at least one “Cloud” Product Family and other requirements as set out in detail in the PartnerEdge Program Guide and the RSPI.

  • Covenant Compliance Certificate means a properly completed and executed Covenant Compliance Certificate substantially in the form of Exhibit X hereto.

  • Compliance certification means a submission to the department or the U.S. EPA, as appropriate, that is required under section 8 of this rule to report a NOx budget source’s or a NOx budget unit’s compliance or noncompliance with this rule and that is signed by the NOx authorized account representative in accordance with section 6 of this rule.

  • Statement of Compliance means the statement forming part of a Tender indicating the Bidders compliance with the Specification.

  • Statement of Requirements means a statement issued by the Authority or any Other Contracting Body detailing its Services Requirement issued in accordance with the Ordering Procedure;

  • Contract Minimum Investment Requirement means, with respect to the Project, investment by the Company and any Sponsor Affiliates of at least $10,000,000 in Economic Development Property subject (non-exempt) to ad valorem taxation (in the absence of this Fee Agreement).

  • United States Tax Compliance Certificate has the meaning specified in Section 3.01.

  • Reportable Compliance Event means that any Covered Entity becomes a Sanctioned Person, or is charged by indictment, criminal complaint or similar charging instrument, arraigned, or custodially detained in connection with any Anti-Terrorism Law or any predicate crime to any Anti-Terrorism Law, or has knowledge of facts or circumstances to the effect that it is reasonably likely that any aspect of its operations is in actual or probable violation of any Anti-Terrorism Law.

  • Compliance Statement is that certain statement in the form attached hereto as Exhibit B.

  • ESDM Report means the Emission Summary and Dispersion Modelling Report prepared in accordance with the Procedure Document by Christopher Scullion, Church and Trought Inc. and dated December 1, 2009 submitted in support of the application, and includes any amendments to the ESDM Report listed in Schedule A and all up-dated ESDM Reports prepared as required by the Documentation Requirements conditions of this Certificate.

  • Default Requirement means the amount specified as being applicable to the Reference Entity in the Standard, or its equivalent in the relevant Obligation Currency (or, if no such amount is specified, U.S.$ 10,000,000 or its equivalent in the relevant Obligation Currency) in either case, as of the occurrence of the relevant Credit Event.

  • End Client Requirements means the specific requirements of the End Client, as notified to the Supplier in writing;

  • Report-based Disbursements means the Borrower’s option for withdrawal of funds from the Credit Account referred to in Part A.5 of Schedule 1 to this Agreement;

  • GLJ Report means the independent engineering reserves evaluation of certain oil, NGL and natural gas interests of the Company prepared by GLJ dated February 11, 2022 and effective December 31, 2021.