Agreement that specifies what procedures and technologies are implemented between two or more parties who have the need to electronically exchange or share health care information. Also see chain of trust (COT).
Tag: RAW
Chain-Ladder Method
A statistical method of estimating outstanding claims, whereby the weighted average of past claim development is projected into the future. The projection is based on the ratios of cumulative past claims, usually paid or incurred, for successive years of development. It requires the earliest year of origin to be fully run-off or at least that the final outcome of that year can be estimated with confidence. It appropriate, the method can be applied to past claims data that have been explicitly adjusted for past inflation.
Chain-of-Causation Concept
A legal doctrine that makes the Insurer responsible for losses caused by perils covered under the contract and other perils that the covered perils may set in motion. For example, a Fire Policy covers Fire, smoke and water damage caused by a Fire.
Chairman’s Strategy Group 2002
The committee that recommended the replacement of the regulatory and market boards at Lloyd’s by a single franchise board. Lloyd’s acts as franchisor and the managing agents as franchisees. Another key outcome was the replacement of the three-year accounting system with GAAP accounting.
CHAMPUS maximum allowable charge (CMAC)
Highest amount TRICARE will pay for a medical service.
CHAMPUS National Pricing System
Database that allows retrieval of pricing information for a particular medical service or procedure within a specific geographic area.
CHAMPVA claim form
VA Form 10-7959A that must be completed and submitted by the provider to request payment for a medical service or procedure rendered to a beneficiary from the CHAMPVA program.
CHAMPVA identification card
Insurance card issued to dependents of military veterans who are beneficiaries of the CHAMPVA government program. Essential information is included on front and back sides of the card. CHAMPVA identification card.
Chance
The probability or likelihood that one event will occur.
Chance of Risk
The long run relative frequency of a loss, and is best expressed as the probable number and severity of losses out of a given amount of exposures, using the probable number of losses times its average severity as the numerator and the total value exposed to loss as the denominator when expressed as a fraction.