- 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.
医師または計画の医療システムと最初の接触をグループのメンバーとして他の医療専門家。呼ばれるプライマリ ・ ケア医、パーソナルケア医師パーソナルケア プロバイダーまたは。
Industry:Health care
A process through which an organization validates credentialing information from the organization that originally conferred or issued the credentialing element to the practitioner.22
Industry:Health care
The separation of a medical service (or a group of services) from the basic set of benefits in some way.
Industry:Health care
In the context of a pharmacy benefit management (PBM) plan, a program that requires physicians to obtain certification of medical necessity prior to drug dispensing. Also known as a medical-necessity review. See also precertification.23
Industry:Health care
Criteria that, if unmet, will cause an automated claims processing system to "kick out" a claim for further investigation.
Industry:Health care
要件、時々 グループの特性に関連または金融措置、Mco を時与えられたグループを自ら計画 (antiselection) に対して選択するグループの機能と提案されたグループの健康計画の知識のバランスをとることを目的とする医療保険を提供するために課すこと。
Industry:Health care
