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.
Komainu, often called lion-dogs in English, are statue pairs of lion-like creatures either guarding the entrance or the inner shrine of many Japanese Shinto shrines or kept inside the inner shrine itself, where they are not visible to the public. The first type, born during the Edo period, is called sandÅ komainu, the second and much older type jinnai komainu. They can sometimes be found also at Buddhist temples, nobility residences or even private homes.