- 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 document that contains information concerning a provider's rights and responsibilities as part of a network.
Industry:Health care
A federal act which established as national policy the concept of a competitive marketing system by prohibiting companies from attempting to (1) monopolise any part of trade or commerce or (2) engage in contracts, combinations, or conspiracies in restraint of trade. The Act applies to all companies engaged in interstate commerce and to all companies engaged in foreign commerce. See also antitrust laws.
Industry:Health care
A Department of Defense, regionally managed health-care programme for active duty and retired members of the uniformed services and their families that combines military healthcare resources and networks of civilian healthcare professionals. Formerly known as CHAMPUS (the Civilian Health and Medical programme of the United States).
Industry:Health care
A reduced fee-for-service (FFS) plan similar to the network portion of a PPO.
Industry:Health care
An enrollment-based managed care option designed to provide coordinated care managed by a primary care manager, who is similar to a primary care provider in a commercial HMO.
Industry:Health care
A fee-for-service plan that allows participants to use TRICARE authorised providers or non-network providers.
Industry:Health care
A toll-free 800 number, 1-800-810-BLUE, you and members can use to locate providers in another Blue Cross or Blue Shield Plan's area. This number is useful when you need to refer the patient to a physician or healthcare facility in another location.
Industry:Health care
A toll-free 800 number, 1-800-676-BLUE, for providers to verify membership and coverage information on patients from other Blue Cross Blue Shield Plans. Calling BlueCard Eligibility will facilitate quicker payments.
Industry:Health care
A programme that allows Blue Cross and Blue Shield members travelling or living abroad to receive inpatient and outpatient institutional and professional services from participating health care providers worldwide. The programme also allows members of foreign Blue Cross and Blue Shield Plans to access U.S. BCBS provider networks.
Industry:Health care
