insurance abbreviations

Abbreviation question?
I wonder if anyone knows what the abbreviation means PMCD referring to a private provider to pay the insurance?
This could be the prehospital medical care directive or the PMCD (medical condition): A rare disorder characterized by generalized overgrowth lymph node tissue that forms a tumor, such as growth. This form of Castleman's disease is progressive and can be serious. See also multi-disease Centric Castleman or pellucid marginal corneal degeneration or psychotropic medication Desk Court depends on what context it was used in
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