(1) See the third definition of Net Premium for the definition applicable to participating Life Insurance policies. (2) In a non-participating policy, the book rate.
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Pre-Certification
Approval by a case manager or insurance company representative for a person to be admitted to a hospital or in-patient facility, granted prior to the admittance. Pre-certification often must be obtained by the individual. The goal of pre-certification is to ensure that individuals are not exposed to inappropriate health care services (services that are medically unnecessary).