- 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.
Médicos que gastan una cantidad sustancial de su tiempo en un entorno hospitalario donde aceptan admisiones a sus servicios de hospitalización de los proveedores locales de atención primaria.
Industry:Health care
A health plan member's expression that his expectations regarding the product or the services associated with the product have not been met.
Industry:Health care
A type of utilization review that occurs while treatment is in progress and typically applies to services that continue over a period of time.
Industry:Health care
Las normas de desempeño que establece una MCO para las actividades de servicios de sus miembros.
Industry:Health care
A type of merger that occurs when previously separate providers combine to form a new organization with all the original companies being dissolved.
Industry:Health care
Éxito de una MCO en satisfacer las necesidades de servicio al cliente no clínicos y expectativas de los miembros del plan.
Industry:Health care
A specified charge that a member must pay out-of-pocket for a specified service at the time the service is rendered.
Industry:Health care
El proceso de revisión y verificación utilizado para determinar la competencia clínica actual de un proveedor y si el proveedor cumple la MCO pre establecido criterios para la participación en la red.
Industry:Health care
A situation that occurs when an organization's assets or resources are not adequate to cover its debts and obligations.
Industry:Health care
