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.
Growing in some areas of the Himalayas, gotu kola is used by yogis to improve meditation. It is said to develop the crown chakra, the energy center at the top of the head and to balance the right and left hemispheres of the brain, which the leaf is said to resemble.