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Usual, Customary or Reasonable (UCR)

An industry term for the typical rates charged for services in a specific region. For example, if a surgeon in Virginia were to charge twice as much for a surgery as the average cost of that procedure in the area, those charges would not be considered usual, customary or reasonable.

Medicare Part C

More commonly known as Medicare Advantage, a health insurance program of managed health care approved by Medicare and provided by private companies. Medicare Advantage plans…