Prenational provider identifiers such as provider identification numbers (PINs), unique physician identification numbers (UPINs), online survey certification and reporting system numbers (OSCARs), and national supplier clearinghouse numbers (NCSs) for DMERC claims. These were carrier-assigned numbers that every facility, physician, clinic, or organization that rendered services to patients when submitting insurance claims used. These have been replaced with the National Provider Identifiers (NPIs).

Individual health insurance clause that limits the period during which a claimant may file suit against the insurer to collect a disputed claim amount. It also specifies that no lawsuit can be brought against an insurance company until a specific time period after a claim is filed.

Name reported to the Internal Revenue Service (IRS) that is legally the business title.

Male who is considered under the law to be the father of a child but may not necessarily be the biological father. Definitions vary by state, but most common is “the man married to the birth mother at the time of birth.” In adoption cases, the legal father is called the father of the adoptee and his rights must be terminated for an adoption to be carried out.

Patient medical record that complies with federal, state, and local laws and a definition developed by each organization based on its needs and what it requires to fulfill its mission. Each organization has its own custom legal health record definition.

Special warning to specific legal danger that could happen with compliance and other health care issues and the possible problems that might result.

Life insurance company that operates under state insurance regulations that specify the minimum basis for the reserves the company must maintain on its policies.