insurer to the insured
If what you are asking is who/what pays the losses of claims submitted to an insurer, the answer is, if it is a covered claim, the insurer. The nature of insurance is that in return for a premium (a dollar amount paid periodically), the insurer assumes the risk of loss of certain categories of losses outlined in the policy. There are dollar limits to the amount that the insurer will pay for various categories of losses, but within those limits, and assuming that it is a covered loss, the insurer pays. There may also be deductibles, and for some forms of insurance, copayments (which the insured pays), but overall, the insurer assumes the risk of loss and pays covered claims.
An examination and verification of claims submitted by a physician is known as an audit.
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in the amount
If you have a courtesy car through an insurer it is probably because you have had an accident that will affect your no claims bonus wheather you have a courtesy car or not. The only way to avoid this is to protect your no claims bonus with your insurer. Usually there is a charge for this or you have to have a full no claims bonus.
The first major duty that liability insurance for small business provides is to defend the small business when it is, for example, sued by another party. The second duty for liability insurance for small business is to pay all claims the insurer is liable for as well as to settle any clear cut cases submitted to insurer immediately.
2 YEARS
That would seem to make sense. Call your insurer and ask.
Combined ratio is a simple measure of insurer profitability. Losses + expenses / Earned premium > 100% : insurer is paying out more in losses, expenses, and claims than it is earning in premiums. < 100% indicates greater premiums than losses, expenses, and claims.
Contact your company. You should be asking your claims agent this question.
The purpose of a Certified Medical Coder is to retrieve and assign accurate coding on medical claims to generate claims for payment. Claims are then submitted to the patient or CMS or the commercial payer.
Under federal health reform rules, an insurer can cancel a policy only for fraud on the application. Omitting a pre-existing condition might be considered fraud, especially if the condition is significant. The insurer could choose to continue the policy, but would have the right to deny claims for the pre-existing condition. If you had a 63-day gap in coverage, for example, the insurer could deny those claims for the first 12 months. After the 12 months ends, the insurer would have to start paying claims for all of your medical conditions.