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| Term: Medically Necessary |
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A Treatment that meets all of the following criteria:
(1) Prescribed by a Physician and required for the screening, diagnosis or treatment of a medical condition;
(2) consistent with the diagnosis of symptoms;
(3) not excessive in scope, duration, intensity or quantity;
(4) the most appropriate level of services or supplies that can safely be provided;
(5) determined by Us to be Generally Accepted; and
(6) is not an Experimental or Investigational Measure |
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