Hearings, Reports and Prints of the Senate Committee on the JudiciaryU.S. Government Printing Office, 1979 |
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20 percent accept assignment anesthesiologist approved assigned claims assignment rates attorney beneficiary bill Blue Shield plan calendar CALIFORNIA UNIVERSITY Carrier Wide Cleveland coinsurance Columbus COMPANY INSURANCE BENEFITS CUPPY customary charge DATE deductible DEMIDOVICH determine doctor EIGNER elderly EXEMPTION OR COMPANY FAHY filed FRANKLIN COUNTY Grant Anesthesia Group Policy Hall HEALTH INSURANCE hearing HEDDEN hospital INCOME TAX EXEMPTION increase Insurance Company knee replacement Legal Aid Society Lucille medicaid MEDICAL EXPENSE medicare carrier MEDICARE CLAIM medicare paid medicare patient million NATIONWIDE INSURANCE nonassigned claims Office Visit Ohio Medical Indemnity payable payment physical therapy physician or supplier Plaintiff Policy's prevailing charge private insurance problem procedures Railroad Retirement reasonable charge allowance received reimbursement request REVERSE SIDE Rose Wise SEGAL Senator METZENBAUM senior citizens Social Security subcommittee submitted surgeon surgery charges surgical total knee replacement Traveler's Insurance Travelers Insurance Company TROETER TYSSOWSKI UNIVERSITY OF CALIFORNIA X-Ray
Priljubljeni odlomki
Stran 78 - Defendant the sum of $ 88.00 being the balance due on an account, a copy of which is hereto attached," marked "Exhibit A", and made a part of this petition.
Stran 96 - In determining the reasonable charge for services for purposes of this paragraph, there shall be taken into consideration the customary charges for similar services generally made by the physician or other person furnishing such services, as well as the prevailing charges in the locality for similar services.
Stran 80 - CERTIFICATE OF SERVICE I hereby certify that a copy of the foregoing...
Stran 100 - Therapeutic exercises or activities which, because of the type of exercises employed or the condition of the patient, must be performed by or under the supervision of a qualified physical therapist or occupational therapist to ensure the safety of the patient and the effectiveness of the treatment...
Stran 96 - In determining reasonable charges, the carriers would consider the customary charges for similar services generally made by the physician or other person or organization furnishing the covered services, and also the prevailing charges in the locality for similar services.
Stran 99 - Services performed by these physician's assistants in physicians' offices or in satellite offices include not only services ordinarily performed by the physician's nurse or other office assistant, eg, taking blood pressures and temperatures, giving injections, changing dressings, but also services heretofore ordinarily performed by the physician himself, such as: routine physical examinations, minor surgery, assistance in major surgery, setting casts on simple fractures, reading X-rays, and other...
Stran 49 - Bl authorize any holder of medical or other information about me to release to the Social Security Administration or its intermediaries or carriers any information needed for this or a related Medicare claim. I permit a copy of this authorization to be used in place of the original, and request payment of medical insurance benefits either to myself or to the party who accepts assignment beknv. Signature of patient (See instructions on reverse wnere patient is unable to sign) SIGN -v HERE V Date signed...
Stran 79 - ... within twenty-eight days after service of this summons on you, exclusive of the day of service. Your answer must be filed with the Court within three days after the service of a copy of the answer on the plaintiffs attorney.
Stran 100 - The services must be considered under accepted standards of medical practice to be a specific and effective treatment for the patient's condition; and 6. The services must be reasonable and necessary to the treatment of the patient's condition.
Stran 100 - ... There must be an expectation that the beneficiary's condition will improve materially in a reasonable (and generally predictable) period of time based on the physician's assessment of the beneficiary's restoration potential and unique medical condition, or the services must be necessary to establish a safe and effective maintenance program required in connection with a specific disease, or the skills of a therapist must be necessary to perform a safe and effective maintenance program. If the...