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 |