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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.

National Plan and Provider Enumeration System (NPPES)

The administrative system for supporting a national plan and provider registry. A comprehensive uniform system for identifying and uniquely enumerating health care providers and plans…