CoModCo

A combination of coinsurance and modified coinsurance under which some part of the reserves, for example, deficiency reserves, are a liability of the reinsurer (“co” portion) while some are returned to the cedant (“modco” portion).

Comorbidity

Underlying condition or other condition that exists along with the condition for which the patient is receiving treatment. Used in diagnostic-related group (DRG) reimbursement. Sometimes referred to as comorbidity condition or concurrent condition.

Company

Agency chartered under state laws that underwrites, administers, and sells many types of insurance plans (e.g., fire and marine, life, casualty, health, liability). For those it insures, it agrees to pay all legitimate claims that may arise under the policy in exchange for a monthly or annual premium. Also called agency or insurance agency, indirect payer, insurer , or payer . See also insurance carrier, fiscal agent , fiscal intermediary (FI) , or agency .