Laws that excuse the insurance company from liability if an individual claims insurance policy proceeds that the insurance company has already paid to a third party and without knowledge of any conflicting claim.

A phrase used to describe a level of history and/or physical examination.

Limited examination of the affected body area or organ system and other symptomatic or related organ systems.

Phrase used when the physician has documented the patient’s chief complaint giving a brief history of the present illness and has completed a problem pertinent system review.

Documentation must include the chief complaint, a brief history of the presenting illness (HPI), and a problem pertinent review of systems (ROS).

Performance and documentation of at least six elements identified in a table by a bullet (•) in one or more organ system(s) or body areas(s).

Performance and documentation of at least six elements identified in a table by a bullet (•) whether in a shaded or unshaded box.

Growth of a health insurance plan’s network either geographically or in the amount of hospital facilities and providers added.

Total dollar amount of insurance claims within a specific period of time that are predicted to be paid.