Classification system

Method that provides the basis for payment that identifies medical services that will be charged fees separately (e.g., diagnosis-related groups [DRGs] patient classification system used for inpatient hospital prospective payment system, Healthcare Common Procedure Coding System [HCPCS] used in the Medicare fee schedule for physicians).

Clause

A portion of a contract that speaks to a specific issue.
***
A provision or condition affecting the terms of a contract. Coinsurance, cancellation, and subrogation clauses are typical insurance contract clauses.
***
A section of a Policy contract of sides attached to it, dealing with a particular subject in the contract as the insuring clause or the co-Insurance clause. A particular part of a Policy or endorsement to that Policy.
***
MEDICAL,USA,REFERENCE: See: provision .

Clause A for A-side coverage

Refers to the coverage afforded under D&ampO insurance policies for loss that is not indemnified by the insured company. This coverage is typically contained in Insuring Clause A or Insuring Agreement A of the policy. If loss is indemnified by the insured company, the D&ampO insurance policy typically affords coverage for that indemnified loss through Insuring Clause B or Insuring Agreement B. Clear space clause – A clause requiring that insured property, such as stacks of lumber, be stored at some particular distance from each other or from other property.

Clawback

1. A practice whereby a pension scheme will offset an amount equivalent to the state pension against a target pension so as to arrive at the amou payable by the scheme. 2. Commission paid to an intermediary for introducing business may be ‘clawed back’ if the policy does not stay in force for a specific period of time. 3. See DELAYED TURNOVER.