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Montefiore stays over the main edge of technology as a result of our involvement in translational study and scientific trials. We're continually earning strides in maximizing the performance of radiation therapy while shielding healthy cells and reducing discomfort and Unwanted effects.
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Our workforce incorporates nationally-identified experts in the prognosis and procedure of cancers of the female reproductive process, such as robotic-assisted surgical techniques and HIPEC, a unique chemotherapy therapy accustomed to demolish any lingering most cancers cells left at the rear of immediately after surgery.
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The Member's contract defines which technique, drug, service, or provide is covered, excluded, minimal, or matter to dollar caps. The policy gives for Evidently composed, realistic and existing conditions that were authorized by Health Internet's Nationwide Clinical Advisory Council (MAC). The medical conditions and healthcare guidelines provide guidelines for figuring out the clinical necessity conditions for distinct techniques, devices and services. So as to be suitable, all services need to be medically vital and in any other case described within the Member's benefits contract as explained On this "Vital Recognize" disclaimer. In all instances, last advantage determinations are based upon the applicable contract language. On the extent you'll find any conflicts among healthcare plan suggestions and applicable contract language, the contract language prevails. Clinical policy just isn't meant to override the policy that defines the Member's benefits, nor is it meant to dictate to providers how you can follow medicine. Policy Productive Day and Described Terms.
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