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Medicaid Integrity Institute (MII)

A national Medicaid program integrity training center for States, established by the Centers for Medicare & Medicaid Services in collaboration with the U.S. Department of Justice, Office of Legal Education. The MII focuses on providing training, technical assistance, and support to State Medicaid program integrity employees.

Pended Claim

An insurance term for claims that are missing information necessary for the insurer to make a coverage decision.