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Glossary of Health Coverage and Medical Terms

WebHealth coverage issued to you directly (individual plan) or through an employer, union or other group sponsor (employer group plan) that provides coverage for certain health …

Actived: 6 days ago

URL: https://assets.guidewell.com/m/3c69392f2639fc0a/original/glossary-of-health-coverage-and-medical-terms.pdf

Child and Adolescent Well -Care Visits (WCV)

WebBy working together, we can improve health outcomes for your patients, our members. The Healthcare Effectiveness Data and Information Set (HEDIS®) helps us measure many …

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2024 HEDIS Measure GSD

WebThe Healthcare Effectiveness Data and Information Set (HEDIS ) helps us measure many aspects of performance. This tip sheet provides key details of the HEDIS measure for …

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2024 HEDIS Measure KED

WebKED is an administrative-only measure. Submit claims and encounter data in a timely manner. There are two ways to identify members with diabetes: by claim/encounter data …

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Initiation and Engagement of Substance Use Disorder …

WebLucet Behavioral Health Physician and Case Management services: Providers can call Lucet Case Management for help locating a BH professional or coordinating care for a …

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Well-Child Visits in the First 30 Months of Life (W30)

WebChildren who turn 30 months old during the measurement year: Two or more well-child visits. The two remaining visits should be completed on the day of or before the member …

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BlueOptions Short-term Plan

Web1A rider can be purchased to add this coverage to Short-Term plans. 2This is a discount prescription drug program. Any amount paid will not apply to the deductible or out-of …

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State Employees’ PPO Plan

WebOption 1: If you prefer predictable copayments and lower deductibles, the Standard PPO Plan is the perfect choice. Option 2: If you prefer to flex your financial muscle, consider …

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STATE OF FL Employees’ PPO Coverage Period: 01/01/20 24

WebSTATE OF FL Employees’ PPO Coverage Period: 01/01/20 24- 12/31/20 Standard PPO Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered …

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HEDIS MEASURE Weight Assessment and Counseling in …

WebThe measure assesses the percentage of members between 3 and 17 years old who had an outpatient/office visit with a primary care practitioner (PCP) or OB/GYN, and who had …

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HEDIS MEASURE Prenatal and Postpartum Care (PPC)

WebPrenatal and Postpartum Care (PPC) By working together, we can improve health outcomes for your patients, our members. The Healthcare Effectiveness Data and …

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FREQUENTLY ASKED QUESTIONS

WebHere’s how to use your allowance: • Visit an in-network provider for eligible covered services. • Tell the provider to bill your plan first.

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BlueSelect Short-term Plan

Web1A rider can be purchased to add this coverage to Short-Term plans. 2This is a discount prescription drug program. Any amount paid will not apply to the deductible or out-of …

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Follow-Up After Emergency Department Visit for Substance …

WebSubstance use hotline 24/7/365: 877-326-2458. Member services phone number they can call Monday through Friday, 8 a.m. – 8 p.m. ET, for behavioral healthcare coordination …

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Member Name: Florida’s Blue Cross and Blue Shield Plan

Web1 80472 0314 You can send us your completed form by mail: Florida’s Blue Cross and Blue Shield Plan. P.O. Box 45287, Jacksonville, FL 32232-9805

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Plan All-Cause Readmissions (PCR)

WebBy working together, we can improve health outcomes for your patients, our members. The Healthcare Effectiveness Data and Information Set (HEDIS®) helps us measure many …

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Stay informed and in control 24 hours a day, 7 days a week!

WebSearchable doctors, specialists and urgent care centers. Health and wellness programs, gym discounts and more1. Online statements, email and language preferences. Updates …

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New Directions Behavioral Health is Now Lucet

WebLucet will help you determine and coordinate the right behavioral health care for all your Florida Blue patients: Lucet Behavioral Health Physician and Case Management …

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