Spanish translation: criterio prudente de persona no experta
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English to Spanish translations [PRO] Medical - Insurance / Health Benefits (Appeals)
English term or phrase:prudent lay person standard
You may request an expedited review of your grievance if a provider with knowledge of your medical condition certifies that the absence of immediate medical attention will do any of the following:
Place the health of the patient or unborn child in serious jeopardy.
Cause serious impairment to bodily functions.
Cause serious dysfunction of any body organ or part.
Subject you to severe pain that cannot be adequately managed.
We, by applying a **prudent lay person standard**, may also determine that the review of a grievance may be expedited.
El texto forma parte de una información enviada a los afiliados de una compañía de seguros de salud en Indiana sobre el proceso de apelación a decisiones adversas.