Procedures for most commonly used member benefit availments.  In-Patient Care AvailmentServices requiring in-hospital treatment and care which excludes laboratory workups.
Services requiring out of hospital treatment and care. Some examples include: Medical Consultation and Dental Consultations.
Services requiring medical laboratory workups. Laboratory workups may be classified as in-hospital or outside-hospital availments.
 Emergency Care AvailmentServices requiring emergency care and treatment and as classified under medical emergency list published by KAINOS.
Guidelines for benefits claim reimbursement and other forms of reimbursements. |
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Availment Procedures |
