Abbreviation	Definition
AFTPA	American Federation of Teachers Pennsylvania
BC	Blue Cross
BOC	Blues On Call
BS	Blue Shield
COB	Coordination of Benefits
COBRA	Consolidated Omnibus Reconciliation Act of 1985
COIN	Coinsurance
CSR	Customer Service Representative
DED	Deductible
DEP	Dependent
DIAG	Diagnosis
DME	Durable Medical Equipment
DOB	Date of Birth
DOS	Date of Service
DUR	Drug Utilization Review
EAP	Employee Assistance Program
ELIG	Eligibility
EOB	Explanation of Benefits
EOMB	Explanation of Medical Benefits
FDA	Food and Drug Administration
HBCBS	Highmark Blue Cross Blue Shield
HCFA	Health Care Financing Administration
HDHP	High Deductible Health Plan
HHA	Home Health Agency
HIPAA	Health Insurance Portability and Accountability Act
HMO	Health Maintenance Organization
HRA	Health Risk Assessment
HRA	Health Reimbursement Account
KHP	Keystone Health Plan
KHPW	Keystone Health Plan West
LOB	Line of Business
LSR	Lifestyle Returns
LTD	Long Term Disability
MH/SA	Mental Health/Substance Abuse
MM	Major Medical
MSP	Medicare Secondary Payer
OOA	Out of Area
OON	Out-of-Network
OOP	Out-of-Pocket
OOP Max	Out-of-Pocket Maximum
OPL	Other Party Liability
OTC	Over-the-Counter
OV	Office Visit
PASBO	Pennsylvania Association of School Business Officials
PBE	Pay By Exception
PCP	Primary Care Physician
PHI	Protected Health Information
POS	Point of Service
PPO	Preferred Provider Organization
PSBA	Pennsylvania School Board Association
PSEA	Pennsylvania State Education Association
PSERS	Pennsylvania State Employers Retirement System
SEIU	Service Employees International Union
SNF	Skilled Nursing Facility
SS	Social Security
SSN	Social Security Number
TPA	Third Party Administrator
TPL	Third Party Liability
UCCI	United Concordia Companies Incorporated
UCR	Usual, Customary and Reasonable
UMI	Unique Member Identifier