Insurance agent or broker encourages a policyholder to cancel a policy and purchase another policy but neglects to state the differences between the two policies or the financial consequences of replacement. This practice is prohibited in the insurance industry.
***
Practice of inducing any Policy holder to lapse or cancel a Policy for the purpose of replacing such Policy with another to the determinant of the Policy holder. The practice is considered to be unethical as well as illegal.
***
Representing a policy as something that it is not or making comparisons that are not wholly truthful to get the policyholder to alter or switch a current policy.
***
The practice of inducing by misrepresentation, or inaccurate or incomplete comparison, a policyholder in one company to lapse, forfeit, or surrender his insurance for the purpose of taking out a policy in another company.
***
Tag: MEDICAL
Two surgeons
Situation when more than two surgeons are present at the time of the operation. A five-digit CPT code number is used with an attached modifier -62 to list the procedure. If listing more than one modifier, the appropriate sequence is to list -62 first and any one of these modifiers in the next position (-54, -55).
Two-party check
Check that is made out to the physician and the patient by the maker.
Two-person membership
Insured or subscriber and one dependent of an insurance contract.
type of bill (TOB)
Field 4 of the Uniform Bill (UB-04) claim form that requires the facility code preceded by a leading zero as specified in the UB-04 (CMS-1450) Manual Billing Procedures .
Type of contract
Classification of an insurance agreement (e.g., one person, two persons, or family membership; group or individual policy).
type of service (TOS) code
Numeric or alpha code that indicates the medical service. When the physician’s office or an outpatient hospital is billing, the code is inserted in Block 24C of the CMS-1500 insurance claim form (e.g., 1 is medical care, 2 is surgery, D is hospice).U
U1
HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating Medicaid level of care 1, as defined by each state. When submitting insurance claims, it is required by some Medicaid and state health departments, so check with your state guidelines.
U2
HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating Medicaid level of care 2, as defined by each state. When submitting insurance claims, it is required by some Medicaid and state health departments, so check with your state guidelines.
U3
HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating Medicaid level of care 3, as defined by each state. When submitting insurance claims, it is required by some Medicaid and state health departments, so check with your state guidelines.