The determinetion of a locality is left to the Secy for definition and development.

prepare detailed, itemized bill showing any compli

Office visits (3 types) and surgical Patients should ask dr. to procedures usually miscoded. Unless reasons for higher charges are stated by physician, the normal level of reimbursement is chosen.

cations.

If fees from one segment differ substantially from rest of locality, mix willbe affected disproportionately. In N. J. 8 regions set initially have been reduced to 3, combining inner cities with suburbs inspite of different conditions in each. Result is lower reimbursement.

States should be on guard

for such changes. Congres-
sional representatives
could pressure Secy and
carrier to remedy inan-