Direct claim payment

System in which members of an insurance plan transact claims straight to the payer instead of submitting claims through an employer.

Direct consequences of Fire covered under the scope of the Fire Policy

(a) Damage during or immediately following a Fire caused by (i) smoke (ii) scorching (iii) falling walls: (b) damage caused by Fire brigade in the discharge of their duties e.g., (i) damage caused by water, and (ii) damage caused by blowing up the property to prevent spreading of Fire, and (c) damage to property removed from a burning building caused by exposure to weather provided the removal was made in an endeavor to mitigate loss.

Direct contract model

Health plan that contracts straight to private practice physicians or provider groups in a locale rather than through an intermediary or managed care company (e.g., open panel health maintenance organization [HMO]).

Direct contracting

See: direct contract model .

Direct cost

Dollar value that is related to a given object or specific service (e.g., medical equipment or medical supplies).

Direct costs

See: out-of-pocket expenses (OOPs) .
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Costs that vary directly with the amount of business transacted.

Direct Damage

Loss caused by the immediate hazard or perils as compared with in Direct damage, which is contingent upon the immediate peril.
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Physical damage caused to property by a peril such as fire or lightning. The peril, fire, directly causes damage to the property without any intervening cause of damage.

Direct data entry

Under the Health Insurance Portability and Accountability Act (HIPAA), this is the access of data directly into the computer through machine-readable source documents or through the use of online terminals that is immediately transmitted into a health plan’s computer.

Direct dealing

An arrangement that enables certain motor syndicates at Lloyd’s to deal directly with non-Lloyd’s brokers. However, the premiums payable have to be guaranteed by, and paid through, a Lloyd’s broker.

Direct deposit

Monies electronically sent to an account in a financial institution (i.e., bank, trust company, savings and loan association, brokerage agency, or credit union).