- 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.
Sebuah aturan yang menyatakan bahwa karyawan yang terluka pada pekerjaan berhak untuk manfaat kompensasi pekerja, tetapi mereka tidak dapat menuntut majikan mereka untuk jumlah tambahan.
Industry:Health care
Undang-undang yang memerlukan rencana kesehatan yang menawarkan manfaat medis dan bedah untuk mastektomi untuk menyediakan cakupan untuk bedah rekonstruktif mengikuti mastektomi.
Industry:Health care
The fee determined by an MCO to be acceptable for a procedure or service, which the physician agrees to accept as payment in full. Also known as a fee allowance, fee maximum, or capped fee.
Industry:Health care
A benefit payment system in which an insurer reimburses the group member or pays the provider directly for each covered medical expense after the expense has been incurred.
Industry:Health care
The MCO committee that sets the organization's broad investment policies and is responsible for reviewing and approving financial and accounting activities.
Industry:Health care
The manager who is responsible for accounting activities such as budget planning, accounting, and internal audits, and financial operations such as membership billing and underwriting. Also known as a chief financial officer.
Industry:Health care
The process of managing an MCO's financial resources, including management decisions concerning accounting and financial reporting, forecasting, and budgeting.
Industry:Health care
Legislation that allows convergence among the traditionally separate components of the financial services industry: banks, securities firms, and insurance companies. Also known as the Gramm-Leach-Bliley (GLB) Act.
Industry:Health care
The percentage of questions that are answered, requests that are fulfilled, and transactions that are processed and completed at the initial point of contact.
Industry:Health care
