Unproven service(s definition

Unproven service(s means services, including medications that are determined not to be effective for treatment of the medical condition, and/or not to have a beneficial effect on health outcomes, due to insufficient and inadequate clinical evidence from well-conducted randomized controlled trials or well-conducted cohort studies in the prevailing published peer-reviewed medical literature.
Sample 1

Examples of Unproven service(s in a sentence

  • The fact that the Experimental, Investigational or Unproven services, treatments, supplies, devices, procedures or drugs are the only option available for a particular condition will not result in Coverage.

  • Any services and supplies for or in connection with Experimental, Investigational or Unproven services.

  • Investigational, Experimental, and/or Unproven services and supplies and all related services and supplies.

  • Sufficient documentation of the availability of sufficient funds for capital and ongoing operating costs necessary to support the Project without negative impacts or consequences to the Applicant's existing Patient Panel 5: The … Project, on balance, is superior to alternative and substitute methods for meeting … Patient Panel needs.

  • Reconsideration is not available for the following types of appeals: Decisions involving a benefit limitation where the limit is stated in the Handbook Decisions involving excluded services, except Experimental and Unproven services, and Decisions concerning Subscriber cost sharing requirements The Subscriber may request that the committee review the appeal based upon the documents and records in the appeal file without participating in the meeting.

  • Unproven services and all services related to unproven services are typically excluded.

  • Drugs, devices, treatment or procedures that are considered to be either(1) Experimental or Investigational or (2) Unproven services, as defined in Section 15, Glossary, are excluded from coverage, unless the plan has agreed to cover them as defined in Section 6, Additional Coverage Details.

  • Reconsideration is not available for the following types of appeals: Decisions involving a benefit limitation where the limit is stated in the Handbook Decisions involving excluded services, except Experimental and Unproven services, and Decisions concerning Member cost sharing requirements The Member may request that the committee review the appeal based upon the documents and records in the appeal file without participating in the meeting.

  • Experimental, Investigational, or Unproven services and medications; medications not approved by the FDA; medications used for experimental or unproven indications (“off-label” uses) and/or dosage regimens determined by Us to be experimental.

Related to Unproven service(s

  • Interconnection Service(s means any Interconnection, Resale Services, 251(c)(3) UNEs, Collocation, functions, facilities, products or services offered under this Agreement.

  • Transportation Services means travel assistance given to an individual

  • Finished Services means complete end-to-end services offered by CenturyLink to wholesale customers or retail End User Customers. Finished Services do not include Unbundled Network Elements or combinations of Unbundled Network Elements. Finished Services include Access Services, private lines, retail services, and resold services.

  • Respite services means a temporary period of relief and support for individuals and their families provided in a variety of settings. The intent is to provide a safe environment with staff assistance for individuals who lack an adequate support system to address current issues related to a disability. Respite may be provided for a defined period of time; respite is either planned or provided in response to a crisis.

  • Hospice services means palliative and supportive care and other services provided by an interdisciplinary team under the direction of an identifiable hospice administration to terminally ill hospice patients and their families to meet the physical, nutritional, emotional, social, spiritual, and special needs experienced during the final stages of illness, dying, and bereavement, as defined in Minnesota Statutes, § 144A.75, subd. 8, and includes the set of services as determined by the Medicare program under §1861(dd) of the Social Security Act and defined in 42 CFR § 418.3.

  • Hosting Services means the provision, administration, and maintenance of servers and related equipment, the provision of bandwidth at the hosting facility, and the operation of the Application for access by Customer Users to be provided by the relevant hosting service provider.

  • Processing Services means those services described herein or commonly performed under the management and direction of Bank by a Card Processor or Credit Processor which are necessary to manage a Program and process transactions in accordance with Applicable Law. Such services shall include but shall not be limited to: set-up and maintenance of a Program and Cards, transaction authorization, processing, clearing and Settlement, System access, Card Services, Credit Services, Cardholder dispute resolution, collections, System compliance, regulatory compliance, security and fraud control, and activity reporting.

  • Contract Services means the Services to be supplied by the Supplier to the Customer as set out in the Letter of Appointment;

  • Technical Services means all services that are necessary to carry out individual, scattered site activities including but not limited to: (1) conducting initial inspections, (2) work write-up or project specification development, (3) cost estimate preparation, (4) construction supervision associated with activities that do not require an architect or engineer, (5) lead hazard reduction or lead abatement need determination and oversight, (6) lead hazard reduction or abatement carrying costs, (7) temporary relocation coordination, (8) financing costs such as security agreement preparation and recording or filing fees, (9) processing of individual applications for assistance, (10) income eligibility determination and verification, (11) value determination (new construction) or after rehabilitation value determination (existing structures), and (12) project-specific environmental clearance processes.

  • Design Services means architect services, engineer services or landscape architect services.

  • Construction Services means either of the following for construction-manager-at-risk, design-build and job-order-contracting project delivery methods:

  • engineering services means infrastructure for –

  • Education Services means education and hostel facilities for students and scholars provided by -

  • Interconnection Service Agreement means an agreement among the Transmission Provider, an Interconnection Customer and an Interconnected Transmission Owner regarding interconnection under Tariff, Part IV and Tariff, Part VI.

  • BPO Services means Provider’s business process outsourcing services described in the applicable Solution Exhibit, whereby Provider assumes responsibility for Customers’ business processes.

  • Related Services means the services incidental to the supply of the goods, such as insurance, delivery, installation, commissioning, training and initial maintenance and other such obligations of the Supplier under the Contract.

  • Cemetery services means cremations, grave openings and closings, and installation of grave memorials.

  • Electric generation service means the provision of retail

  • Satellite services means communications capabilities that utilize an on-orbit satellite for transmitting the signal from one location to another.

  • Transportation Service means a service for moving people and goods, such as intercity bus service and passenger rail service.

  • Services Contract means an agreement for the provision of Services entered into with a Provider by one or more of the Partners in accordance with the relevant Individual Scheme. Service Users means those individual for whom the Partners have a responsibility to commission the Services. SOSH means the Secretary of State for Health.

  • Transportation Service Agreement means the contract between KUB and the Customer whereby KUB agrees to provide transportation gas service to the Customer.

  • Support Services the support services, as described in the Support Services Description, that We provide to You in respect of the Cloud Service.

  • Extra Services means those services set forth in Schedule “B” that are requested by the Municipality for itself or on behalf of its citizens and provided by the Company in accordance with paragraph 7 of this Agreement;

  • Passenger Services means the Franchisee's railway passenger services as specified in any Timetable and/or Plan of the Day including those railway passenger services which the Franchisee may delegate or subcontract or otherwise secure through any other person from time to time in accordance with the Franchise Agreement;

  • Multiphase professional services contract means a contract for the providing of professional