Prenational provider identifiers such as provider identification numbers (PINs), unique physician identification numbers (UPINs), online survey certification and reporting system numbers (OSCARs), and national supplier clearinghouse numbers (NCSs) for DMERC claims. These were carrier-assigned numbers that every facility, physician, clinic, or organization that rendered services to patients when submitting insurance claims used. These have been replaced with the National Provider Identifiers (NPIs).
Insurance Encyclopedia
Legal actions provision
Individual health insurance clause that limits the period during which a claimant may file suit against the insurer to collect a disputed claim amount. It also specifies that no lawsuit can be brought against an insurance company until a specific time period after a claim is filed.
Legal assignment
An assignment that permits an assignee to sue in his own name. The Policies of Assurance Act 1867 allows the assignee to sue on the policy provided he has given notice to the insurer in writing. The policy must be endorsed or the assignment must be by separate instrument. See EQUITABLE ASSIGNMENT.
Legal business name
Name reported to the Internal Revenue Service (IRS) that is legally the business title.
Legal Costs & Expenses Insurance (Legal Protection Insurance)
Insurance of the legal costs and expenses incurred by the insured in (a) Pursuing a civil claim against a third party, (b) defending a civil action brought by a third party, and (c) defending criminal proceedings where the offence alleged was not a deliberate wrongful act.
Legal costs extension
A liability policy clause indemnifying the insured against his own defence costs if incurred with the insurer’s consent. These costs are borne by the insurer in addition to damages and claimants’ costs tha are subject to the specified limit of indemnity. The legal costs form a part of the indemnity limit only if the limit is costs inclusive.
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The extension of a liability insurance to provide for the payment of the insured’s legal costs in litigation other than the defence of the insured against claims arising under the liability insurance (which costs are commonly covered by the insurance in any event).
Legal description
A statement containing a designation by which land is identified according to a system set up by law or approved by law.
Legal expense coverage
iNSURANCE to reimburse policyholders for legal fees incurred for defense from lawsuits involving areas of civil law not covered by standard liability iNSURANCE, such as discrimination, wrongful discharge, contract disputes, and patient disputes.
Legal expense insurance (Liability Insurance)
Insurance that provides policyholders with legal services. These services are paid for according to a schedule.
Legal expenses insurance
An insurance for individuals, families and businesses to enable them to meet the cost of defending or pursuing certain civil actions. Cover is also available for defending prosecutions and allowance is made for attendance expenses in connection with court hearings or similar proceedings. See COMan MERCIAL LEGAL EXPENSES; MOTOR LEGAL EXPENSES.
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A group form of insurance which provides members with legal services paid for on a schedule basis. Similar to Dental Insurance.