A pre-determination letter is part of the claims management process for health insurance providers. The letter relates to the coverage of specific medical services under a patient's policy. Insurance companies require health care providers to follow submission instructions, such as the content that must be included in the pre-determination letter.
The Kogi are the last surviving civilization from the world of the Inca and Aztec, and their cities are untouched by our world. The mountain they inhabit is an isolated triangular pyramid rising over 18,000 feet from the sea, the highest coastal mountain on earth.
They differ from ordinary Nishikigoi (or 'Wagoi' meaning Japanese Koi) in scale arrangement. Doitsu Koi with lines of scales on the back and along the lateral lines are called Kagami-goi (mirror carp), and those without scales or with only one line of scales on each side along the base of the dorsal fin.