Action taken by the Medicare administrative contractor that renders a provider’s billing number inactive or ineffective for claims processing. The provider is notified and given a reason for this situation.
Tag: USA
Death benefit
Amount of money payable to a designated beneficiary after the person insured (policyholder) under a life insurance policy dies. See also basic death benefit and face amount .
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The amount stated in the Policy to be paid upon proof of death of the insured. The sum payable as the result of the death of Policy holder.
Death claim
Formal request for payment by the beneficiary under the terms of a life insurance policy after the policyholder of a life insurance policy dies. Certain death forms giving due proof of the death and establishing the beneficiary’s rights to such insurance proceeds must be filed with the company. This is called a death claim .
Death spiral
Process in which health insurance premium rates continuously increase for individuals or small groups eventually making the insurance unaffordable. It may be due to the fact that healthier and younger employees choose managed care plans, leaving less healthy individuals in experience-rated indemnity plans. Other factors that may add to the problem are contribution strategies used by employers and pricing techniques of a plan.