128 Chiropractic Care means the conservative management of acute neuromusculoskeletal conditions through manipulation and ancillary physiological treatment rendered to specific joints to restore motion, reduce pain, and improve function. Claims Administrator means the entity that processes medical claims. Clean Claim means a medical claim that has no defects or special circumstances, including incomplete documentation that delays timely payment. Complication of Pregnancy means: (1) an unscheduled cesarean section; (2) spontaneous termination of Pregnancy that occurs during a period of gestation in which a viable birth is not possible; (3) a condition, that requires Hospital confinement (when the Pregnancy is not terminated), whose diagnosis is distinct from Pregnancy but is caused or adversely affected by Pregnancy, such as: acute nephritis, nephrosis; cardiac decompensation; missed abortion; and similar medical and surgical conditions of comparable severity. The term does not include: false labor; occasional spotting; physician prescribed rest during a Pregnancy; morning sickness; pre-eclampsia; or similar conditions that are associated with a difficult Pregnancy but do not constitute classifiably distinct Complications of Pregnancy. Pregnancy Benefits are payable on the same basis as benefits for treatment of an illness. Continuing Care Patient means an individual who, with respect to a provider or facility — 3. is undergoing a course of treatment for a serious and complex condition from the provider or facility; 4. is undergoing a course of institutional or inpatient care from the provider or facility; 5. is scheduled to undergo non-elective surgery from the provider, including receipt of postoperative care from such provider or facility with respect to such a surgery; 6. is pregnant and undergoing a course of treatment for the pregnancy from the provider or facility; or 7. is or was determined to be terminally ill (as determined under section 1861(dd)(3)(A) of the Social Security Act) and is receiving treatment for such illness from such provider or facility. Covered Charge Limits mean (a) the usual charge for the service or supply; (b) the customary charge for the service or supply; (c) any limit specified in the Covered Charges List, the Schedule of Benefits, or the Areas of Limited Coverage section. Covered Medical Charge means a charge that: (1) is made for a Medically Necessary service or supply that is furnished to a participant; and (2) meets all of the following tests: • It is shown in the covered medical charges list or is otherwise listed as a covered medical charge in this SPD. • It is incurred by a participant while the participant is eligible for medical benefits. A charge is deemed to be incurred at the time the service is rendered or the supply is furnished for which the charge is made. • It is not listed as a Plan exclusion. • It does not exceed the smallest of the Covered Charge Limits that apply to the service or supply for which the charge is made. The part of a charge that does not exceed the smallest of the Covered Charge Limits shall be considered a covered medical charge if it meets the above tests.