The Great Gatsby features extremely wealthy characters. Readers are given a look at the upper-upper class of the society. However, even in this social stratum, there is still a divide -- old money and new money. The old money people have had their wealth passed on from generation to generation, supposedly from rich European ancestors. New money folks worked hard to gain their wealth and did not come from rich families. In this regard, the proud old money look down on the new money since they do not really see them as part of the wealthiest.
It usually means in a competition that there is basically a tie
No, I don't think so. Once he start submitting electronic claims, the physician itself may notice that his/her money and time will be spent properly. It may also lessen the amount spent when sending a letter or parcels by mail and may lessen as well the supplies needed. And because electronic claim is actually paperless, in this procedure there is an assurance of financial savings not only for the physician but also for the payers.