National Healthcare Abbreviations
The following link contains healthcare terms and acronyms that provide brief definitions for many of the industry’s medical, financial, and government terms.
ACSHIC Healthcare Abbreviations
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| AFTPA | American Federation of Teachers Pennsylvania |
| BC | Blue Cross |
| BOC | Blues On Call |
| BS | Blue Shield |
| COB | Coordination of Benefits |
| COBRA | Consolidated Omnibus Reconciliation Act of 1985 |
| COIN | Coinsurance |
| CSR | Customer Service Representative |
| DED | Deductible |
| DEP | Dependent |
| DIAG | Diagnosis |
| DME | Durable Medical Equipment |
| DOB | Date of Birth |
| DOS | Date of Service |
| DUR | Drug Utilization Review |
| EAP | Employee Assistance Program |
| ELIG | Eligibility |
| EOB | Explanation of Benefits |
| EOMB | Explanation of Medical Benefits |
| FDA | Food and Drug Administration |
| HBCBS | Highmark Blue Cross Blue Shield |
| HCFA | Health Care Financing Administration |
| HDHP | High Deductible Health Plan |
| HHA | Home Health Agency |
| HIPAA | Health Insurance Portability and Accountability Act |
| HMO | Health Maintenance Organization |
| HRA | Health Risk Assessment |
| HRA | Health Reimbursement Account |
| KHP | Keystone Health Plan |
| KHPW | Keystone Health Plan West |
| LOB | Line of Business |
| LSR | Lifestyle Returns |
| LTD | Long Term Disability |
| MH/SA | Mental Health/Substance Abuse |
| MM | Major Medical |
| MSP | Medicare Secondary Payer |
| OOA | Out of Area |
| OON | Out-of-Network |
| OOP | Out-of-Pocket |
| OOP Max | Out-of-Pocket Maximum |
| OPL | Other Party Liability |
| OTC | Over-the-Counter |
| OV | Office Visit |
| PASBO | Pennsylvania Association of School Business Officials |
| PBE | Pay By Exception |
| PCP | Primary Care Physician |
| PHI | Protected Health Information |
| POS | Point of Service |
| PPO | Preferred Provider Organization |
| PSBA | Pennsylvania School Board Association |
| PSEA | Pennsylvania State Education Association |
| PSERS | Pennsylvania State Employers Retirement System |
| SEIU | Service Employees International Union |
| SNF | Skilled Nursing Facility |
| SS | Social Security |
| SSN | Social Security Number |
| TPA | Third Party Administrator |
| TPL | Third Party Liability |
| UCCI | United Concordia Companies Incorporated |
| UCR | Usual, Customary and Reasonable |
| UMI | Unique Member Identifier |
