Analytic system for the measurement of relative Fire hazard. A system for measuring the relative probability of Fire loss to property and of determining Fire Insurance premium rates.
Insurance Encyclopedia
Analysis of Risk
Process of locating loss exposures, measuring the amount of loss that exposures can produce, estimating the loss probability, and evaluating the exposures to determine actions necessary to meet the business (or family) risk management objective.
Anatomic modifiers
In Healthcare Common Procedure Coding System (HCPCS) Level II coding, two alphanumeric characters placed after the usual five-digit CPT procedure code number. These modifiers are used to identify specific anatomical parts of the body when the CPT procedure code does not include that information. HCPCS modifiers are accepted by insurance carriers nationally and are updated annually by the Centers for Medicare and Medicaid Services (CMS).
Anatomy
The study of the structures of the human body and the relationship between them.
Anchor group
Large medical group composed of multispecialists with multidisciplines that under managed care contracts handle the bulk of treatments and referrals of member patients and carry most of the clinical risk. Also called key groups or core groups.
Ancillary
Supplemental health care service required as part of giving other care such as anesthesia, laboratory, pharmacy, and radiology; other than routine hospital services (room, board, medical and nursing services).
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Fees charged for additional services (other than room and board charges), such as x-rays, anesthesia, lab work, etc. The term may also be used to describe the charge made by a pharmacy for prescriptions which exceed the health insurance policy’s maximum allowable cost.
Ancillary activities clause
Support activities so closely related to the ‘Business of the insured that they are regarded as integral to it. The definition of ‘Business’ in liability policies extends to include ownership, maintenance and repair of premises, the provision and management of canteens, social, sports or welfare organisations for the benefit of employees and the insured’s ambulance, first aid (excluding medical practitioners) and fire services. The private work clause brings in a non-business situation, i.e. cover applies to the execution of private work by employees for any director or senior official of the insured.
Ancillary Benefits
Benefits for miscellaneous hospital charges.
Ancillary benefits (Health Insurance)
Coverage for charges associated with a hospital stay; for example, supplies, X-rays, and other diagnostic tests.
Ancillary charge
Fee for an ancillary service that is sometimes billed as an additional service such as anesthesia, laboratory, pharmacy, or radiology charge and which may exceed the managed care plan’s maximum allowable.