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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.

Accountable Care Organization (ACO)

A group of healthcare providers that come together to provide the full range of healthcare services for patients. The provider organization is responsible for the…