- 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.
The MCO committee that oversees the organization's quality management committee, accreditation efforts, and other quality functions.
Industry:Health care
Benefits that replace an employee's wages while the employee is unable to work because of a work-related injury or illness.
Industry:Health care
For groups with limited recorded claim experience, a method of forecasting a group's cost of benefits based partly on an MCO's manual rates and partly on the group's experience.
Industry:Health care
Healthcare services provided to an HMO member in exchange for a fixed, monthly premium paid in advance of the delivery of medical care.
Industry:Health care
Medicaid recipients who do not meet categorically needy or medically needy criteria and therefore fall outside the traditional Medicaid population.
Industry:Health care
An Internet service that links independently owned databases containing text, pictures, and multimedia elements. Also known as the Web.
Industry:Health care
A healthcare system that offers plan members a wide range of medical services through an exclusive group of providers in return for a monthly premium payment.
Industry:Health care
The amounts spent or committed by an MCO to pay for covered benefits and their administration.
Industry:Health care
Three characters preceding the subscriber identification number on Blue Cross Blue Shield ID cards required for routing claims. It identifies the member's Blue Cross Blue Shield Plan or national account.
Industry:Health care
A name, number, term, sign, symbol, design, or combination of these elements that an organisation uses to identify one or more products.
Industry:Health care
