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Glossaries

For many of us, medical and health insurance terms are unfamiliar or complex. Our glossaries define some of those terms.


		Down coding A process used by insurance carriers to reduce the value of billed procedures by changing the codes submitted to ones of lower value. Procedure code and procedure description mismatch, and diagnosis code not supporting the level of care are the two most common opportunities for insurance carrier down coding.

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Denial
Dependents
Down coding
Durable medical equipment
Durable medical equipment regional carrier (DMERC)

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