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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.

Preferred Provider Organization (PPO)

A form of health insurance in which the enrollee pays a smaller portion of health care costs when they use pre-approved health care providers.