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Elias Makere, FSA, MAAA
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ASOP 5 | §2.3 | CARVE-OUTS

Contractually designated services provided by specific providers, such as prescription drugs or dental, or condition-specific services such as cancer, mental health, or substance abuse treatment. Carve-outs are often provided by a separate entity specializing in that type of designated service.
ASOP 5 | Commentary Section 2.3 | COMMENT ON SECTION 2.3
Section 2.3, Carve-Outs
CommentResponse
One commentator suggested moving the definition of “carve-outs” to section 3.29..The reviewers believe the definition is appropriately included in section 2.3 and made no change.
One commentator suggested that the definition of “carve-outs” implies that dental services are always a carve-out.The reviewers added the word “contractually” to clarify that carve-outs are defined in the contract and not globally.
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