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Utilization Review Manager/Utilization Management means Adventist Health Benefits Administration’s in-house utilization review department, which is responsible for determining whether requested medical care is medically necessary. However, for all prescription drug […]

Medical Condition

Medical Condition means any condition of an enrollee resulting from illness, injury (whether or not the injury is accidental), pregnancy or congenital malformation. However, genetic information is not a medical […]

Hospital

Hospital means a facility that is licensed as an acute care general hospital and provides in-patient surgical and medical care to persons who are acutely ill. Additionally, the facility’s services […]

Empower presents Retirement Readiness Parsonage and Social Security This resource is intended for: Employees

My EFT payroll deposit has not been received. What may have gone wrong? This resource is intended for: Retirees

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Usual, Reasonable, & Customary Charge (“U&C”)

Usual, Reasonable, & Customary Charge (“U&C”) means: (i) For out-of-network providers, the normal and necessary charges submitted or made for similar services or supplies provided by other providers of medical […]