See: Earnings Cap. Alternative accommodation clause (loss of rent). A clause in both household buildings and contents insurances to cover the insured if his home becomes uninhabitable due to insured damage. The buildings insurer will pay the reasonable cost of: any necessary alternative accommodation, loss of rent due to the insured and a maximum of two years ground rent for which the insured is liable, subject to a maximum of 10 per cent of the amount insured. The contents insurer covers the cost of alternative accommodation and rent payable by the insured up to 20 per cent of the sum insured.
Insurance Encyclopedia
Allowed amount
Maximum dollar value the insurance company assigns to each procedure or service on which payment is based. Typically, a percent (e.g., 80%) of the allowed amount is paid by the insurance carrier. Also called approved charge or approved amount. See also maximum allowable and maximum allowable charge (MAC).
Allowed charge
Individual charge determined by an insurance carrier for a covered supplemental medical insurance (SMI) medical service or supply.
Allowed condition
In workers’ compensation cases, a condition recognized as a direct result of an industrial injury or occupational illness.
Alongside
A phrase referring to the side of a ship. Goods to be delivered “alongside” are to be placed on the dock or barge within reach of the transport ship’s tackle so that they can be loaded abroad the ship.
Alphabetical index
In the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code book, an alpha list of diagnoses located in Volume 2. This assists in trying to choose an accurate diagnostic code for a medical case.
Alphabetical index to External Causes of Injury and Poisoning
In the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code book, an alpha list of causes and places of injuries and poisoning, located at the back of Volume 2. This assists in trying to choose an accurate diagnostic code for an injury or poisoning case.
Alteration of Port of Departure
Where the place of departure is specified by the Policy, and the ship instead of sailing from tat place sails from any other port, the risk does not attach.
Altering patient records
Unethical and illegal practice of changing or adding an amendment to a patient’s medical records either to obtain more reimbursement or due to a pending audit or legal review of records.
Alternate beneficiary
Individual entitled to the proceeds of a life insurance policy if no primary beneficiary is living when the insured dies. Also called contingent beneficiary, secondary beneficiary, or successor beneficiary.