professional indemnity (insurance).
Tag: RAW
Picking Clause
Cotton, Wool and Similar Fibrous Commodities are shipped in bales. Country damage to which these bales may be exposed in usually restricted to the outer surface of these bales and is often superficial. By picking out the damaged fibers, the remainder of the bale may be considered as sound. The sound parts of the bales affected may be rebelled and consolidated to make whole bales. The picking clause also provides that the Insurer will pay the cost of picking and the cost of re-baling both sound and damaged material, because the damaged material does have salvage value. Provided the loss is caused by an insured peril, the Insurer is liable for the insured value of the pickings less the salvage proceeds of picked material.
Pig Insurance
Policy covers indigenous, cross bred and exotic pigs from 2 months to 3 years of age against death due to disease or accident. Usual terms and conditions are as per Cattle Insurance. Specific additional exclusions are PTD, Breeding and Furrowing risks. Swine fever covered if the pig is successfully inoculated against the disease.
Pigeonholing
To use a brief list of diagnostic codes and use those codes for all patients whether or not the codes match their actual diagnoses.
Pilferage
A term that is most often seen in marine insurance forms, used to refer to theft of items of little worth.
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Petty theft, especially theft of articles in less than package lots.
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Petty thievery, the taking of small parts of a whole. As used in marine insurance policies the term denotes petty thievery, the taking of small parts of a shipment, as opposed to the theft of a whole shipment or large unit. Many ordinary marine insurance policies do not cover against pilferage and when this coverage is desired, it must be added to the policy.
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UK: Theft unaccompanied by any attack on the premises often by persons lawfully on the premises. Pilferage is not usually covered under commercial theft policies; losses are low impact, high probability losses and therefore suitable for risk assumption and risk prevention, particularly by retailers. Pilferage by employees is a idelity guarantee insurance risk. In the marine cargo clause it has been held as: ‘the taking of a small part of the goods rather than of the whole. See FULL THEFT INSURANCE.
Pilot Products for Health Insurance
The Health Regulations 2016 have introduced the concept of “Pilot Products ” aimed at encouraging innovation in the design of products for covering risks that have not been offered before. Pilot Products may be offered by General Insurers and Health Insurers for a policy tenure of one year, but not exceeding five years. Further, the sales and publicity material of such products are required to provide certain specific disclosures as set out under the Health Regulations 2016. The relevant section of HIR 2016 stipulates: “Pilot product” means a close-ended product with a policy term of one year that may be offered for sale by General Insurers or Health Insurers for a period not exceeding five years from the date of launch of the product with a view to giving scope to innovation for covering risks that have not been offered hitherto or stand excluded in the extant products.
PIN
Abbreviation for provider identification number (PIN). PINs are now referred to as provider transaction access numbers (PTANs). See provider transaction access number (PTAN).
Ping-ponging
Excessive referrals to other providers for unnecessary services. A physician or facility may use this technique to gain favor with colleagues.
PIP
See: periodic interim payment (PIP), personal injury protection (PIP), and physician incentive plan (PIP).
PIP-DCG model
Principal inpatient diagnostic cost group model that was phased out in 2003 and replaced by the hierarchical condition categories (HCC) model. See hierarchical condition categories (HCC) model.