An extension in motor traders’ road risks policies to include driving of the trader’s vehicles by prospective customers and persons undergoing driving tuition.
Insurance Encyclopedia
Demonstrations
Projects and contracts that Centers for Medicare and Medicaid Services (CMS) has signed with various health care organizations. These contracts allow CMS to test various or specific attributes such as payment methodologies, preventive care, and social care and to determine if such projects/pilots should be continued or expanded to meet the health care needs of the nation. Demonstrations are used to evaluate the effects and impact of various health care initiatives and the cost implications to the public.
Demurrage
1. A penalty or storage charge for cargo or containers held beyond the allowed number of free days at a warehouse due to late collection. 2. The liquidated damages payable to the shipowner if the lay days allowed by the charter party for loading or discharging are exceeded. 3. Loss of hire or use of ship following collision damage. See DETENTION.
***
Penalty levied against cargo that is held beyond the generally allowed number of days “free time” of storage, or against a vessel at port of loading or discharge longer than agreed.
Demurrer
A pleading filed in response to a complaint or lawsuit. The demurrer assumes that everything alleged in the complaint is true and contents that even if the plaintiff proves everything he claims true, he will still lose the suit. Although demurrers are often sustained the court will usually allow the plaintiff the opportunity to amend the complaint to make it better.
Demurrer (Legal Terminology)
A statement in a court case avowing that there is no grounds for action, even if the other party’s claims are accurate.
Demutualization
Process of converting a stock insurance company to a mutual insurance company.
***
The conversion of an insurance company from a mutual insurance company to a stock insurance company.
Denial
In the Medicare program, electronic and paper insurance claims may be rejected (formally denied) because the medical service was not covered, medical necessity was not met, the service was bundled with other services, the diagnosis was not covered, the claim was payable only in certain locations (e.g., outpatient only), prior approval was not obtained, or so on.
Denial code
Alpha, numerical, or alphanumerical system used by insurance companies to explain partial or complete denials of insurance claims. Denial codes usually appear on documents such as explanation of benefits (EOBs).
Denial of access
Business interruption extension covering loss of income due to policyholder and customers being denied access to premises following damage by an insured peril to another building, e.g. fire at adjacent premises resulting in a road block. Cover for non damage’ events that deny access, e.g. crowd demonstrations, are also insurable.
***
Business interruption insurance may be extended to cover loss through denial of access to the insured’s premises arising out of a peril insured against.
Denial of benefits
1. Rejection of a medical service due to insurance coverage policy or insurance program issues. 2. Rejection of all or part of an insurance claim. Application of contractual copayments and deductibles is not considered a denial of a claim. 3. Official Medicare decision that services will not be approved for payment. This may be due to a decision that the service is not an approved service, not being provided in the proper setting for the level of care, not provided by an approved participating provider, or not medically necessary.