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..... CIs Name Date Name Class Date m 'LR.! '!ll Temperature continued AVERAGE KINETIC ENERGY National Science Education Standards BEFORE YOU READ After you read this section, you should be able to
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Medical Loss Ratio (MLR) is a financial measurement used by insurance companies to ensure that a certain percentage of premium revenue is spent on medical claims and quality improvement activities, rather than on administrative costs and profits.
Health insurance companies that offer individual and group health plans are required to file MLR reports.
MLR reports can be filled out by following the guidelines provided by the Centers for Medicare & Medicaid Services (CMS) and using the MLR reporting template.
The purpose of MLR is to ensure that health insurance companies are using a certain percentage of premium revenue to provide medical benefits to policyholders, rather than on non-medical expenses.
MLR reports must include information on premium revenue, medical claims, quality improvement expenses, and administrative costs.
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