Clinical cases that have medical procedures with the same diagnosis, same operative area, and same indication.
Insurance Encyclopedia
Relation of earnings to insurance (Health Insurance)
A clause stating that if the insured’s disability income exceeds the income he or she earns, upon disability the benefits will be reduced to the appropriate amount and premiums that were paid toward excess coverage will be refunded to the insured.
Relation of earnings to insurance clause
Provision in some policies that limits the amount of benefits in which the insurance company will participate when the total amount of disability benefits from all insurers is beyond the insured’s usual earnings. Also known as participation limit .
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In disability insurance, a provision that reduced payment to the proportion of policy benefits that the insured’s earnings at the time of disability (or average earnings for two years prior to disability) bear to total disability benefits under all policies, also called the average earnings clause.
Relationship Clause
A clause sometimes found in liability policies excluding liability to members of the insured’s family.
Relationship code
Code that identifies the gender and association of a member to the subscriber.
Relationship management
See: provider relations .
relative value scale (RVS)
See: relative value studies (RVS) .
Relative value schedule (Health Insurance)
A schedule of surgical costs and values. This schedule lists the values of procedures, as well as the fee that should be paid for each.
relative value studies (RVS)
Compiled list of particular rating or rank of medical services based on the intensity of the procedure performed. Each professional service listed by procedure code is given a relative value unit (RVU) and that is multiplied by a dollar conversion factor to show the monetary value for each procedure. The study becomes a fee schedule when dollar conversion factors are applied. RVS is published as a guide book to show the relative value of one procedure over another. Also called relative value scale (RVS) .
Relative value unit (Health Insurance)
A unit used in some schedules that list surgical costs and values. The amount to be paid on these schedules is determined by multiplying this factor by a conversion factor.