- Industry: Health care
- Number of terms: 4240
- Number of blossaries: 0
- Company Profile:
The Blue Cross Blue Shield Association (BCBSA) is a federation of 39 separate health insurance organizations and companies in the United States. Combined, they directly or indirectly provide health insurance to over 100 million Americans.
An organisation that provides dental care to its members through a network of dentists who offer discounted fees to the plan members.
Industry:Health care
The MCO committee responsible for directing the MCO's strategic direction and goals.
Industry:Health care
A plan under which an employer's group health plan, disability plan, and workers' compensation programme are merged, integrated, or coordinated (depending on state regulations) into a single health benefit plan that covers employees 24 hours a day.
Industry:Health care
Special codes that consist of a brief, specific description of each diagnosis or treatment and a number used to identify each diagnosis and treatment.
Industry:Health care
The unification of previously separate providers under common ownership or control.
Industry:Health care
The application of managed care principles to 24-hour coverage.
Industry:Health care
A provision that specifies that plan members may self-refer to a specialist, either in-network or out-of-network, at full benefit or at a reduced benefit, without first obtaining a referral from a primary care provider.
Industry:Health care
An advertising medium, usually in print form, that uses a mail service to distribute an organization's sales offers or advertising messages.
Industry:Health care
Healthcare quality indicators related to the nature, quantity, and quality of the resources that an MCO has available for member service and patient care.
Industry:Health care
