Glossary
- AIDS
- Appeal
- Certificate of Insurance (COI)
- Clean Claim
- Clinical Trials
- Complaint
- Definition of Contracted Provider Dispute
- Emergency
- Emergency Services and Care (Behavioral Health)
- Evidence of Coverage (EOC)
- Facility Site Review
- Grievance
- Hospice Services
- Inquiry
- Investigational Services
- Life-Threatening Emergent (Behavioral Health)
- Medical Necessity
- Medical Waste Management Materials
- Medical Information
- Mental health application information (Behavioral Health)
- Mental Health Digital Service (Behavioral Health)
- Non-Life Threatening Emergent (Behavioral Health)
- Non-Urgent, Pre-Service Decision (Behavioral Health)
- Member Handbook
- Not Medically Necessary
- Offshore
- Opt Out Provider
- Participating Provider
- Post-Service Decision (Behavioral Health)
- Post-Stabilization Services (Behavioral Health)
- Primary Care Physician (PCP)
- Psychiatric Emergency Medical Condition
- Rape and Sexual Assault
- Residential Treatment
- Routine (Behavioral Health)
- Telehealth
- Schedule of Benefits or Summary of Benefits (SOB)
- Serious Illness
- Subcontractor
- Unclean Claim
- Urgent (Behavioral Health)
- Urgent Concurrent Review Decision (Behavioral Health)
- Urgent Decision (Behavioral Health)
- Urgent Pre-Service Decision (Behavioral Health)