Clause in an insurance policy that gives the insurer the right to have the insured examined by a physician of the insurer’s choice and paid by the insurer.

In CPT coding, a two-character alphanumeric add-on code placed after the usual anesthesia procedure code number to indicate the physical condition of the patient’s health at the time of anesthesia delivery (e.g., normal, healthy patient; mild or severe systemic disease).

Individual who is state licensed to practice in the examination, evaluation, and treatment of physical impairments through the use of special exercise, application of heat or cold, and other physical modalities.

Treatment of injury and disease by mechanical means such as use of heat, light, exercise, and massage.

Method of application of, or the employment of, a therapeutic agent or regimen to give treatment to assist in rehabilitating or restoring function to the body after an illness or injury.

Treatments for injuries and diseases consisting of cold, shortwave and microwave diathermy and ultrasonic heat, hydrotherapy, electric stimulation, light, exercise, and massage to restore function to the body. Services also include evaluation and program planning.

Insurance claims with no staples or highlighted areas. The bar code area has not been deformed.

1. Doctor of Medicine (MD) or Doctor of Osteopathy (DO) who, through education, training, and internship is licensed under state law to practice medicine and may diagnose and render treatment to individuals. 2. In workers’ compensation cases, providers of care include state-licensed medical doctors, psychologists, optometrists, dentists, podiatrists, chiropractors, and acupuncturists.

1. In a medical center facility, doctor that is asked to do final decision-making in complicated or difficult cases by evaluating appropriateness of admission, judging efficiency of services for level of care and place of service, and in seeking appropriate care alternatives for selected patients. Additionally, a PA can act as a negotiator and educator with practicing physicians and as liaison between the utilization management company and the provider community in understanding and shaping more efficient and cost-effective medical practice. 2. Individual hired to improve the revenue cycle. Also called business consultant. 3. Individual who assists patients in selecting medical insurance and in choosing a physician.

Legal contract between an insurance company or managed care plan and a physician (participating physician) to give medical services to the plan’s members.