1. Practice of billing for the same medical service more than once. In the Medicare program, a physician who repeatedly submits duplicate claims may be removed from the electronic billing network. 2. Resubmission of identical insurance claims with no changes. Duplicate claims are considered fraudulent. Also called double billing .
Insurance Encyclopedia
duplicate coverage inquiry (DCI) form
Query form completed to an insurance company or medical provider to find out where there is other health insurance coverage under another plan. Such inquiries are made for the purpose of coordination of benefits between the two or more plans.
Duplicate coverage inquiry (Health Insurance)
An inquiry into the existing coverage on a potential policyholder. This is done to coordinate benefit stipulations if more than one company is involved.
Duplication
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.
Duplication of benefits
See: Duplication Of Coverage .
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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.”