Any Medicare claim that contains complete, necessary information but is illogical or incorrect (e.g., listing an incorrect provider number for a referring physician). Invalid claims are identified to the provider and may be resubmitted.

Diagnostic code that is not as specific as it should be and has some missing digits. Insurance claims may be rejected by third-party payers.

Detailed description of quantities and locations of kinds of facilities, equipment, and personnel that are available in a geographical area with the amount, type, and distribution of services these resources can support.

Clinical observation of an approved practice or procedure as to its immediate and long-term effectiveness, complications, and consequences.

Investigative consumer report by a consumer reporting agency that interviews individuals who have knowledge about a specific consumer’s character, living style, or reputation.
***
A report comprised of findings about the character of an insured or prospective insured. The information in the report is gathered through interviews with family, friends, colleagues, and other acquaintances.

Accounting system in which an insurance company keeps records of the interest rates it annually earns on funds that relate to accounts in the general account. Also called new money method .

Category of insurance products that have death benefits and cash values that vary depending on the insurer’s investment earnings such as variable annuities, variable life insurance, and variable universal life insurance. Also called interest-sensitive insurance .