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.
SEMPAI / KOHAI. In the DOJO, Sempai/Kohai is most often based on who has been training the longest, or rather, who has the most experience. Regardless of physical skills, the person with the most experience is always regarded as Sempai and the person with lesser experience is regarded as Kohai. The Sempai has responsibilities for the development of the Kohai and the Kohai has responsibilities for tending to the needs of the senior members.