National Provider Identifier (NPI) Glossary of Terms

National Provider Identifier (NPI) Glossary of Terms Covered Entity – means: 1. A health plan 2. A health care clearinghouse 3. A health care provider who transmits any health information in electronic form in

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SummaryofBenefitsandCoverage: …

Limitations,Exceptions,&OtherImportant Information WhatYouWillPay ServicesYouMayNeed Common MedicalEvent Non-Participating Provider(Youwillpaythe most)

durable medical equipment - Blue Cross and Blue …

Durable Medical Equipment (DME) Overview BCBSIL Provider Manual—Rev 5/10 2 This document is provided as a supplement to the Blue Cross and Blue Shield of Illinois (BCBSIL) Contract

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Blue Cross Medicare Advantage (HMO/HMO …

Section 1 – Introduction This directory provides a list of Blue Cross Medicare Advantage’s (HMO/HMO-POS) network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage.

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HIPAA NOTICE OF PRIVACY PRACTICES - Blue …

Blue Cross and Blue Shield of Illinois (BCBSIL) is required to provide you a HIPAA Notice of Privacy Practices as well as a State Notice of Privacy Practices.

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Billing with National Drug Codes (NDCs) …

March - April 2015 1 Billing with National Drug Codes (NDCs) Frequently Asked Questions NDC Overview Converting HCPCS/CPT Units to NDC Units

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Formulary (List of Drugs) - Health Insurance Illinois

The drug list (sometimes called a formulary) is a list showing the drugs that can be covered by the plan. The drugs listed will be covered as long as you:

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Radiology Quality Initiative (RQI) Program …

Page 1 of 8 Radiology Quality Initiative (RQI) Program Answers to Frequently Asked Questions Program Overview..... 2

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Claim Review Form - Health Insurance Illinois

Claim Review Form This form is only to be used for review of a previously adjudicated claim. Original Claims should not be attached to a review form.

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Electronic Funds Transfer (EFT) Authorization …

(EFT Enrollment Authorization Agreement, Page 2) OTHER DATA In addition to the maximum data elements required for EFT enrollment, BCBSIL will need the following information to finalize your request:

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PHCS is a PPO (Preferred Provider Organization) Bon ...

Type of Plan: PHCS is a PPO (Preferred Provider Organization) Participating Hospitals/Facilities: Roper Hospital Bon Secours St. Francis Hospital

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A fee-for-service plan with a preferred provider organization

Compass Rose Health Plan www.compassrosebenefits.com 888-438-9135 2018 A fee-for-service plan with a preferred provider organization IMPORTANT

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A fee-for-service plan (High Option, Consumer Driven ...

NALC Health Benefit Plan www.nalchbp.org 888-636-6252 2017 A fee-for-service plan (High Option, Consumer Driven Health Plan, Value Option) with a preferred provider organization

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Blue Cross Medicare Advantage (PPO)

Blue Cross Medicare Advantage (PPO) Supplement to the BlueChoice® Physician, Professional Provider, Facility and Ancillary Provider Manual Updated 01-30-2018

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DEFINITIONS OF HEALTH INSURANCE TERMS

3 Health Care Plans and Systems ♦ Indemnity plan - A type of medical plan that reimburses the patient and/or provider as expenses are incurred. ♦ Conventional indemnity plan - An indemnity that allows the participant the choice of any provider without effect on reimbursement. These …

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Welcome and Key Contacts - UPMC Health Plan

Welcome and Key Contacts – Chapter A Welcome and Key Contacts A.2 Welcome A.3 Provider OnLine A.4 UPMC Health Plan Website A.5 How to Use This Manual . A.7 . Key Contacts . A.8 Table A1 - UPMC Health Plan (Commercial) A.10 Table A2 -

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Conservatorship Handbook 2017 - thearctn.org

4 Purpose The Arc Tennessee empowers people with intellectual and developmental disabilities (I/DD*) and their families to acti vely participate in the community throughout their lifetime.