- 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.
A national programme that offers members travelling or living outside of their Blue Cross Blue Shield Plan's area the PPO level of benefits when they obtain services from a physician or hospital designated as a PPO provider.
Industry:Health care
Carries an ID card with this identifier on it. Only members with this identifier can access the benefits of BlueCard PPO.
Industry:Health care
The network comprising those physicians, hospitals and other healthcare providers PPO members may elect to use to obtain the highest level of PPO benefits.
Industry:Health care
A doctor, hospital or other healthcare entity enrolled in a network of designated PPO providers.
Industry:Health care
A national programme that enables members obtaining healthcare services while travelling or living in another Blue Cross Blue Shield (BCBS) Plan's area to receive all the same benefits of their contracting BCBS Plan and access to BlueCard providers and savings. The programme links participating healthcare providers and the independent BCBS Plans across the country through a single electronic network for claims processing and reimbursement. The BlueCard programme allows you to submit claims for members from other BCBS Plans, including international BCBS Plans, directly to your local BCBS Plan.
Industry:Health care
Zmluvy ustanovenie, že umožňuje MCO alebo poskytovateľ odstúpiť od zmluvy bez poskytuje dôvod alebo ponúkanie odvolací proces.
Industry:Health care
Integrácia oboch financovanie a poskytovanie zdravotníckej starostlivosti v rámci systému, ktorý sa snaží riadiť dostupnosť, náklady a kvalita tejto starostlivosti.
Industry:Health care
Vydávanie rôznych chemických jednotky v rámci tej istej triedy drog drogy na lekáreň prospech manažment plán formulary. Terapeutická zámena vždy vyžaduje lekár approval.29
Industry:Health care
Akýkoľvek subjekt, ktorý využíva určité koncepcií alebo techník, ktoré správu dostupnosť, náklady a kvalita zdravotnej starostlivosti.
Industry:Health care
Činnosti a systémy navrhnuté na produkty alebo služby k dispozícii tak, aby spotrebitelia môžu kupovať.
Industry:Health care
