Phrases with «coverage determination»

"Coverage determination" refers to the process of making a decision about whether or not an insurance company will pay for a particular medical treatment, prescription drug, or service. It is essentially determining if something is covered by your insurance policy or not. Full definition

Sentences with «coverage determination»

  • The records are reviewed by Claims for making coverage determination under the terms and conditions of the policy purchased. (travelguard.com)
  • Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required (ziprecruiter.com)
  • Insurance terms, definitions and explanations are intended for informational purposes only and do not in any way replace or modify the definitions and information contained in individual insurance contracts, policies or declaration pages, which control coverage determinations. (nationwide.com)
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