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Blue Shield Acronyms & Abbreviations

Blue Shield Acronyms & Abbreviations

This is a list of acronyms and abbreviations used by Blue Shield.

ABAllowed Benefit
AHAAmerican Hospital Association
AMAAmerican Medical Association
ASCAdministrative Service Contract or Ambulatory Surgical Center
BCBSMDBlue Cross and Blue Shield of Maryland
BCBSNCABlue Cross and Blue Shield of the National Capital Area
BUCSBlue United Cross and Shield (Credit Union)
C&SClaims and Service
CAREConsolidated Adjudication and Reimbursement System
COBCoordination of Benefits
COBRACOBRA Consolidated Omnibus Budget Reconciliation Act of 1986
COMPComprehensive Insurance
CPTCurrent Procedural Terminology
DHMHDepartment of Health and Mental Hygiene
DHPDelmarva Health Plan
DMODental Maintenance Organization
EREmergency Room
ECFExtended Care Facility
EOHBExplanation of Healthcare Benefits
EOMBExplanation of Medicare Benefits
FDAFood and Drug Administration
FEP/FEHPFederal Employee Program/Federal Employee Health Plan
FSHPFreeState Health Plan
HCACCHealth Care Access and Cost Commission
HCFAHealth Care Financing Administration (Medicare)
HIAAHealth Insurance Association of America
HMOHealth Maintenance Organization
HSCRCHealth Services Cost Review Commission
ICMIndividual Case Management
IHMIntegrated Health Management
IMDIndividual Market Division
JCAHJoint Commission on the Accreditation of Hospitals
LPNLicensed Practical Nurse
LPTLicensed Physical Therapist
MBMedical Benefits
MCOManaged Care Organization
MED-CHIMedical & Chirurgical Faculty of Maryland
MEOBMedicare Explanation of Benefits
MHAMaryland Hospital Association
MMMajor Medical
MPOSMaryland Point of Service
MSSOPMandatory Second Surgical Opinion Program
NAICNational Association of Insurance Commissioners
NASCONational Account Service Corporation
NMISNational Management Information System
NCQANational Committee for Quality Assurance
OCLOutstanding Claims Liability
OPAPOutpatient Pre-Treatment Authorization Plan
OPLOther Party Liability
PARParticipating (plan, hospital, physician, etc.)
PCPPrimary Care Physician
PDRPhysicians Desk Reference
PIPPersonal Injury Protection/Proposal and Installment Process
PPAPreferred Provider Arrangement
PPNPreferred Provider Network
PPOPreferred Provider Organization
PTPhysical Therapist
QAQuality Assurance
RFPRequest for Proposal
RPTRegistered Physical Therapist
RXPrescription Drug
SROSelf Referral Option
SSASocial Security Administration
SSOPSecond Surgical Opinion
TPAThird Party Administrator
UCPUtilization Control Program
UCP+Utilization Control Program Plus
URUtilization Review
VSSOPVoluntary Second Surgical Opinion

List Courtesy of: CareFirst BlueCross BlueShield

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