Insurance placed with an insurer direct and not through an intermediary.
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UK,REFERENCE: See: Direct Insurer.
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The primary cover provided by the insurer for the insured policyholder, as opposed to any reinsurance cover provided for the insurer. Also, known as primary business.
Insurance Encyclopedia
Direct care
Under the TRICARE program, medical care given in a military treatment facility. Also called in-house care .
Direct claim payment
System in which members of an insurance plan transact claims straight to the payer instead of submitting claims through an employer.
Direct consequences of Fire covered under the scope of the Fire Policy
(a) Damage during or immediately following a Fire caused by (i) smoke (ii) scorching (iii) falling walls: (b) damage caused by Fire brigade in the discharge of their duties e.g., (i) damage caused by water, and (ii) damage caused by blowing up the property to prevent spreading of Fire, and (c) damage to property removed from a burning building caused by exposure to weather provided the removal was made in an endeavor to mitigate loss.
Direct contract model
Health plan that contracts straight to private practice physicians or provider groups in a locale rather than through an intermediary or managed care company (e.g., open panel health maintenance organization [HMO]).
Direct contracting
See: direct contract model .
Direct cost
Dollar value that is related to a given object or specific service (e.g., medical equipment or medical supplies).
Direct costs
See: out-of-pocket expenses (OOPs) .
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Costs that vary directly with the amount of business transacted.
Direct Damage
Loss caused by the immediate hazard or perils as compared with in Direct damage, which is contingent upon the immediate peril.
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Physical damage caused to property by a peril such as fire or lightning. The peril, fire, directly causes damage to the property without any intervening cause of damage.
Direct data entry
Under the Health Insurance Portability and Accountability Act (HIPAA), this is the access of data directly into the computer through machine-readable source documents or through the use of online terminals that is immediately transmitted into a health plan’s computer.