- 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 specific database (or set of databases) containing data from many sources that are linked by a common subject (e.g., a plan member).7
Industry:Health care
Long-term advisory bodies on ongoing issues such as finance management, compliance, quality management, utilization management, strategic planning, and compensation.
Industry:Health care
An automated system that answers calls with recorded or synthesized speech and prompts the caller to respond to a menu of options by entering information through a touchtone keypad or by speaking into the phone.
Industry:Health care
A method of marketing that involves creating a database of customer information - including demographic, consumer preference, and sales history information - which is used to narrow the focus of an organization's direct marketing efforts.
Industry:Health care
A program, established by the Balanced Budget Act, designed to provide health assistance to uninsured, low-income children either through separate programs or through expanded eligibility under state Medicaid programs.
Industry:Health care
Performance standards that are developed by the MCO and are based on the organization's historic performance levels.
Industry:Health care
A form of information technology that uses databases and decision models to enhance the decision-making process for MCO executives, managers, clinical staff, and providers.8
Industry:Health care
An HMO's ability to maintain at least the minimum amount of capital and surplus specified by state insurance regulators.
Industry:Health care
An internal (private) computer network, built on Web-based technologies and standards, that is only available to members of the computer network.
Industry:Health care
A flat amount the member must pay before the insurer will make any benefit payments.
Industry:Health care
