| http://www.w3.org/ns/prov#value | - Are medically needed at the appropriate level of care (see below) for the medical condition (When there is a question as to medical need, the decision on whether the treatment is eligible for coverage will be made by Horizon BCBSNJ.); Are listed in the Eligible Services and Supplies sections of this handbook; Are ordered by a doctor (as defined by the plan) for treatment of illness or injury; Were
|
