Test purchased from an outside supplier on behalf of the patient such as an electrocardiograph, x-ray, or ultrasound. The physician does not personally perform or supervise the test.

1. Member of a managed care plan who pays the monthly insurance premium. 2. Managed care organization or insurance company that reimburses providers for the medical services that they provide (“purchase”) for their members.

Life insurance policy in which the face value is paid only if the insured survives to the end of the stated endowment period; those who do not survive the endowment period receive nothing. Very few of these policies are sold.
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UK: Life policy that pays the sum insured if the life insured survives the policy term but nothing in the event of earlier death.

1. Calculation of the cost of liability insurance protection without loadings for the insurance company’s expenses, premium taxes, contingencies, and profit margins. 2. Average expected cost for insurance benefits.

Phrase used to describe an insurance claim being processed for payment in which the coordination of benefits provision is investigated before the claim is paid.