Health care treatment decision definition

Health care treatment decision means a determination made when medical services are actually

Health care treatment decision means a determination made when medical services are rendered under a health care plan and a decision is made which affects the quality of the diagnosis, care, or treatment provided to the enrollee of the plan;

Health care treatment decision means a determination

Examples of Health care treatment decision in a sentence

• Health care treatment decision" means a decision regarding diagnosis, care or treatment when medical services are provided by a health plan, or a benefits decision involving determinations regarding medically necessary health care, preexisting condition determinations and determinations regarding experimental or investigational services.[PL 2001, c.

• Health care treatment decision" means a decision regarding diagnosis, care or treatment when medical services are provided by a health plan, or a benefits decision involving determinations regarding medically necessary health care, preexisting condition determinations and determinations regarding experimental or investigational services.[ 2001, c.

• Health care treatment decision" means a determination made when medical services are actually provided by a health carrier or other managed care entity and that affects the quality of the diagnosis, care, or treatment provided to the insureds or enrollees of a health benefit plan.(b) The term does not include a decision by a health carrier or managed care entity to deny payment or coverage for services based on the provisions of a policy, contract, certificate, or agreement.

More Definitions of Health care treatment decision

Health care treatment decision means a determination that:

Health care treatment decision means a determination made when medical services are actually provided by the health care plan and a decision which affects the quality of the diagnosis, care, or treatment provided to the plan's insureds or enrollees.

Health care treatment decision means a determination made

Health care treatment decision means a determination made at the

Health care treatment decision means a decision made by a health

Health care treatment decision means a decision made by a health or dental benefits plan at the time health care services are provided or to be provided, which decision affects the diagnosis, care or treatment provided to a covered person.

Health care treatment decision means a decision that affects the quality of the diagnosis, care, or treatment provided to the plan's enrollees, whether medical services are actually provided by the health care plan or not;