Creation of a standby or backup facility to be used only in case the original facility is damaged. Duplication reduces loss severity, but may have no effect on loss frequency.Separation : Division of an existing loss exposure into two or more units, all used in an organization’s daily operations. Separation reduces loss severity, but may increase loss frequency because of the larger number of units exposed to loss in daily use.Selection (of Risk) : (i) The choosing by an underwriter of risks acceptable to an insurer. (ii) A phrase used in reinsurance referring to the practice of ceding poorer business to a reinsurer while retaining good risks.
Insurance Encyclopedia
Duplication of benefits
See: Duplication Of Coverage .
***
Overlapping or identical coverage of the same insured two or more health plans, usually the result of contracts of different insurance companies, services organizations or prepayment plans; also known a multiple coverage.
Duplication of benefits (Health Insurance)
When similar or indistinguishable coverage exists between two or more insurers.
Duplication of coverage
Insurance coverage of an insured under two or more policies who collects, or may collect, payments for the same hospital, or medical expenses from more than one insurer. Also known as dual coverage, duplication of benefits , or multiple coverage .
Duplication of Exposure Units
See: “Segregation of Exposure Units.”
durable medical equipment (DME)
1. Billing phrase to Medicare and Medicaid fiscal intermediaries to specify medical supplies, devices, and equipment (e.g., crutches, urinary catheters, ostomy supplies, surgical dressings) for reimbursement. 2. Purchased or rented items such as a walker, seat lift equipment, wheelchairs, a hospital bed, and other medically necessary equipment prescribed by a health care provider to be used in a patient’s home and which are covered by the Medicare program. DME is paid under both Medicare Part B and Part A for home health services. Also called home medical equipment .
durable medical equipment (DME) number
Group or individual provider number used when submitting bills for specific medical supplies, devices, and equipment to the Medicare fiscal intermediary for reimbursement.
durable medical equipment regional carrier (DMERC)
Four contracted regional carriers (private companies) that contract with Medicare to process and pay insurance claims for durable medical equipment such as orthotics, prosthetics, and supplies. Providers are required to obtain supplier numbers and disclose ownership before submitting claims. Also called contractor and durable medical equipment regional contractor (DMERC) .
durable medical equipment regional carrier advisory process (DAP)
Formal method of obtaining comments about regional medical review policy development and revision and to discuss and improve administrative policies within the durable medical equipment regional contractor’s discretion. These workgroups may consist of physicians, clinicians, Medicare beneficiaries, suppliers, and manufacturers who are able to give input.
durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS)
See: DMEPOS .