Medword.com





Medword Resources:
Blue Shield Acronyms & Abbreviations


Blue Shield Acronyms & Abbreviations


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

A
ABAllowed Benefit
AHAAmerican Hospital Association
AMAAmerican Medical Association
ASCAdministrative Service Contract or Ambulatory Surgical Center
B
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
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
D
DHMHDepartment of Health and Mental Hygiene
DHPDelmarva Health Plan
DMODental Maintenance Organization
E
EREmergency Room
ECFExtended Care Facility
EOHBExplanation of Healthcare Benefits
EOMBExplanation of Medicare Benefits
F
FDAFood and Drug Administration
FEP/FEHPFederal Employee Program/Federal Employee Health Plan
FSHPFreeState Health Plan
H
HCACCHealth Care Access and Cost Commission
HCFAHealth Care Financing Administration (Medicare)
HIAAHealth Insurance Association of America
HMOHealth Maintenance Organization
HSCRCHealth Services Cost Review Commission
I
ICMIndividual Case Management
IHMIntegrated Health Management
IMDIndividual Market Division
IPInpatient
J
JCAHJoint Commission on the Accreditation of Hospitals
L
LPNLicensed Practical Nurse
LPTLicensed Physical Therapist
M
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
N
NAICNational Association of Insurance Commissioners
NASCONational Account Service Corporation
NMISNational Management Information System
NCQANational Committee for Quality Assurance
O
OCLOutstanding Claims Liability
OOPOut-of-Pocket
OPOutpatient
OPAPOutpatient Pre-Treatment Authorization Plan
OPLOther Party Liability
P
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
Q
QAQuality Assurance
R
RFPRequest for Proposal
RPTRegistered Physical Therapist
RXPrescription Drug
S
SROSelf Referral Option
SSASocial Security Administration
SSOPSecond Surgical Opinion
T
TPAThird Party Administrator
U
UCPUtilization Control Program
UCP+Utilization Control Program Plus
URUtilization Review
V
VSSOPVoluntary Second Surgical Opinion

List Courtesy of: CareFirst BlueCross BlueShield














[Home]   [About]   [Contact Us]   [Privacy]   [Site Terms]   
[Norton Safe Site]
Comodo Trusted Site Seal
SSL Certificate