Period during which a computer, communications line, or other device is malfunctioning or not operating correctly because of mechanical or electronic problems.
Insurance Encyclopedia
Downcode
Reduce the value and procedure code of an insurance claim when the documentation supports a higher level of service billed by a provider.
Downcoding
1. Coding system used by the physician’s office does not match the coding system used by the insurance company receiving the claim. The insurance company computer system converts the procedure code submitted to the closest code in use, which is usually down one level from the submitted code, generating decreased payment. Sometimes downcoding may occur when the diagnosis code does not support the level of care. 2. Selecting procedure codes at a lower level than the medical service requires or documentation supports. Also called undercoding . Also see penalized claim.
Download
To transmit or receive a data or graphic file from one computer to another.
Downscale
To apply the correct commission scale to the insurance premiums received in order to compute the commissions due.
Downside Risk
The chance that actual outcomes will be worse than some fixed level.
Dr. William Haddon, Jr’s Energy release theory for Loss Control
Accidents are the result of out-of-control energy putting more stress on a structure (including the human body) than that structure can tolerate without damage. From this concept of accident causation, preventing or minimizing accidental losses centers upon attempts to identify conditions which produce inadequately controlled energy, or methods of safeguarding structure against such energy.
Draft
The depth necessary to submerge a ship to her load line.
Draft book claim payment
Type of insurance claim adjudication (settlement) in which the insurance company authorizes the policyholder (insured) to settle claims and to issue payment on behalf of the insurer.
Draft or Bill of Exchange
An unconditional order in writing from one person (the drawer) to another (the drawee), directing the Drawee to pay a specified amount to a named Drawer at a fixed or determinable future date.