What is an exclusion condition?
Asked by: Florida McCullough DVM | Last update: June 26, 2025Score: 5/5 (55 votes)
What is an example of exclusion?
Take, for example, the employee break room. While it's a place for relaxation, it can also become a site for exclusion, where someone is left out of office conversations or sits alone, feeling unwelcome. This persistent exclusion is a form of workplace bullying, even to the extent of complete social ostracism.
What do exclusions mean in insurance?
An exclusion is a provision within an insurance policy that eliminates coverage for certain acts, property, types of damage or locations. Things that are excluded are not covered by the plan, and excluded costs don't count towards the plan's total out-of-pocket maximum.
What is medical condition exclusion?
A pre-existing condition exclusion period limits the number of benefits that an insurer has to provide for specific medical conditions and does not apply to medical benefits afforded by a health insurance policy for other types of care.
What is exclusion in medical terms?
exclusion. noun. ex·clu·sion iks-ˈklü-zhən. : surgical separation of part of an organ from the rest without excision.
Condition exclusion in SAP
What is exclusion conditions?
Exclusion Conditions means, as of any date of determination, the satisfaction of all of the following conditions on such date: (i) no Termination Event or Unmatured Termination Event has occurred and is continuing, or would result from the proposed designation of such Obligor as a Excluded Obligor, (ii) after giving ...
What is an excluded condition?
A diagnosis of exclusion or by exclusion (per exclusionem) is a diagnosis of a medical condition reached by a process of elimination, which may be necessary if presence cannot be established with complete confidence from history, examination or testing.
What is condition exclusion?
With condition exclusion the system automatically compares conditions in sales documents and billing documents, determines the most appropriate price for a customer, and excludes unsuitable conditions.
What are disorders of exclusion?
A diagnosis of exclusion exists in situations where no single test is able to diagnose the condition, and the diagnosis cannot be verified by outcomes, imaging, laboratory values, or unique signs and/or symptoms [7,8].
What is the known conditions exclusion?
The “known conditions” exclusion—a type of known loss exclusion— has been defined by an insurance company in one PLL policy to exclude coverage for loss “arising from pollution conditions existing prior to the inception of this policy, and reported to any officer, director, partner or other employee responsible for ...
What is a list of exclusions?
An exclusions list is a list—set up by a financial institution—of customers who are to be exempted from ongoing due diligence screening. This is usually because these customers' activities have a history of being flagged as false positives, or of otherwise not exhibiting anything suspicious.
What is the exclusion clause in an insurance policy?
If a situation stated in an exclusion clause applies, a loss arising from that situation would not be covered under the insurance policy even if the loss results from the specified events or uncertainties which the insurance policy is supposed to protect against.
What are exclusions in Medicare?
Medicare normally excludes coverage for non-physician services to Part A or Part B hospital inpatients unless those services are provided either directly by the hospital/SNF or under an arrangement that the hospital/SNF makes with an outside source.
What are 3 reasons for exclusion?
People can be excluded because of who they are, where they live, sociocultural reasons, lack of resources – and frequently a combination of these factors, as shown in Figure 1.2. The overlapping circles in the diagram indicate how there may be more than one reason for exclusion of any individual or group.
What are the three types of exclusion?
The different forms of social exclusion described by the Responsive Theory of Social Exclusion: explicit rejection, ambiguous rejection, and ostracism. Social exclusion is an interactive process between multiple people, yet previous research has focused almost solely on the negative impacts on targets.
How does exclusion work?
An exclusion can be permanent or fixed-term (temporary, and sometimes referred to in government guidance as “suspension”.) A pupil is not allowed in school while they are excluded. The information on this page is about exclusions from state-funded schools and pupil referral units (PRUs).
What are examples of exclusion?
- Leaving someone out on purpose when you know they will be hurt by your actions.
- Telling other students not to be friends with someone.
- Embarrassing someone in public when someone tries to approach the group.
What are the most common exclusion criteria?
Common exclusion criteria include characteristics of eligible individuals that make them highly likely to be lost to follow-up, miss scheduled appointments to collect data, provide inaccurate data, have comorbidities that could bias the results of the study, or increase their risk for adverse events (most relevant in ...
Why is exclusion a problem?
For example, lower immune function, reduced sleep quality, reduced ability to calm oneself in times of distress, reduced self esteem, feelings of anxiety, depression and aggression have all been observed in children who have been excluded from a peer group (DeWall, Deckman, Pond & Bonser, 2011).
What is exclusion in disability?
Exclusions are situations that aren't covered by your disability insurance — most policies won't cover pre-existing conditions or self-inflicted injuries, for example.
What is an exclusion requirement?
Subsection (1)defines an exclusion requirement as a requirement prohibiting the offender from entering a place during a period specified in the order.
What is a pre-existing condition exclusion?
The time period during which a health plan won't pay for care relating to a pre-existing condition. Under a job-based plan, this cannot exceed 12 months for a regular enrollee or 18 months for a late-enrollee.
What diseases are diagnosed by exclusion?
They crossed 10 specialties and covered the following 19 disorders: adult-onset Still's disease,11 panic attack,12 diastolic heart failure,13 takotsubo cardiomyopathy in liver-transplant patients,14 Bell's palsy,15 anorexia tardive,16 phantom tooth pain,17 Alzheimer's disease,18 nonfatal amniotic fluid embolism,19 ...
What is a medical exclusion?
In a nutshell, an exclusion is a condition or instance that is not covered by your insurance plan. Just as each plan has a list of items that the insurance company will cover, they also have a list of items they will not.
What does excluded mean in medical terms?
1. Shutting off or removing from the main part. 2. In medical insurance programs, a list of specific hazards, perils, or conditions for which the policy will not provide benefits or coverage payments.