An extra charge for an alteration, during the policy period, which increases the hazard or the Company’s liability.
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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).