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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.

Center(s) of Excellence (COE)

Health care providers or systems that excel at a certain treatment or procedure, insurance companies can try to steer patients to COEs for their condition.