Approval number given to a provider who requests a specific service, treatment, test, or procedure. It does not guarantee payment if the insurance claim does not establish medical necessity and appropriateness of the care requested for a patient.
Insurance Encyclopedia
Authorized insurer
An insurer granted permission by a state to sell specific lines of insurance within that state.
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An insurer authorized by the Authority to transact business in that country for specific types of insurance.
Authorized official
1. Individual who is a direct owner of 5% or more of a provider (e.g., business partner, chairman of the board, chief financial officer, chief executive officer, president). 2. Person to whom the provider gives legal authority to be enrolled in the Medicare program. The authorized official can make changes or updates to the provider’s status in the Medicare program and signs a statement that the provider will abide by the laws and regulations of Medicare.
Authorized provider
Physician, other individual authorized provider of care, hospital, or supplier who meets the licensing and certification requirements, practices within the scope of that license, and is approved by TRICARE to provide medical care and supplies.
Authorized Reinsurance
See: Admitted Reinsurance.
Authorized reinsurer
See: admitted reinsurer.
Auto coverage (Vehicle Insurance)
An insurance policy providing coverage for a vehicle or trailer that operates on public roadways.
Auto Ignition Temperature
The lowest temperature at which a flammable gas or vapor-air mixture will ignite without a spark or flame.
Auto insurance plan
Program set up by various states to ensure that everyone with a valid drivers license will be able to purchase auto insurance. All auto insurers operating within a state are assigned insureds in proportion to the amount of auto premium written.
Auto Insurance Policy
There are basically six major coverage parts of the standard automobile insurance policy. Liability coverage is often required by law. Physical damage coverage may be required by a lien holder.The six coverage parts are:2.400
Bodily Injury Liability
This coverage pays medical, loss of income, and related expenses the insured is responsible for due to an act of negligence involving an automobile. For example, if the insured runs a stop sign and hits an oncoming vehicle, injuring an occupant, the bodily injury portion of the coverage pays the injured third party. Bodily injury coverage may be expressed in split or single limits. Split limits may be written as 25,000/50,000 and is translated as coverage that will pay up to $25,000 per person to a maximum of $50,000 per accident. A single limit of $50,000 pays up to $50,000 for any one accident with no per person limit.
This coverage pays a third party for damage to his or her property caused by the negligence of the insured. This includes negligently damaging someone else’s automobile or running into someone’s house.
Property Damage Liability
Medical Payments Coverage or Personal Injury Protection (PIP)
Liability insurance pays third parties and this coverage pays medical expenses for the policyholder and others in the insured’s vehicle. The coverage is often much less than liability insurance and pays regardless of fault.
Collision Insurance
Collision pays for damages to the policyholder’s vehicle due to collision with an object. It pays regardless of fault.
Comprehensive Insurance
Comprehensive coverage is for physical damage to a vehicle for perils other than collision with an object. This includes fire, explosion, food, theft, and glass breakage.
Uninsured Motorists Coverage
policyholder, up to the limits
This coverage pays the chosen, for costs that result from an accident with a hitand-run driver or an uninsured or underinsured driver. Uninsured motorists can be written to cover bodily injury in all states and property damage in many states. Two other forms of coverage commonly found in the standard automobile policy are towing and rental reimbursement. Towing pays for the cost of towing the vehicle due to mechanical breakdown, getting stuck in weather, or an accident. Rental reimbursement pays the cost of a rental car for the insured while an insured vehicle is being repaired.