Cirrus Co- payment Home Health Care In- network Co- payment SPIRE Provider Preferred Provider ODAR ACET Out-of- pocket Limit Doc360 Medically Necessary Emergency Medical Transportation Excluded Services ICUE Network Non- Preferred Provider Appeal Reconstructive Surgery Emergency Room Care Emergency Services Co- insurance Hospital Outpatient Care Grievance Prescription Drug Coverage Skilled Nursing Care In- network Co- insurance Balance Billing DocDNA Durable Medical Equipment Preauthorization Cirrus Co- payment Home Health Care In- network Co- payment SPIRE Provider Preferred Provider ODAR ACET Out-of- pocket Limit Doc360 Medically Necessary Emergency Medical Transportation Excluded Services ICUE Network Non- Preferred Provider Appeal Reconstructive Surgery Emergency Room Care Emergency Services Co- insurance Hospital Outpatient Care Grievance Prescription Drug Coverage Skilled Nursing Care In- network Co- insurance Balance Billing DocDNA Durable Medical Equipment Preauthorization
(Print)
I-Cirrus
I-Co-payment
I-Home Health Care
N-In-network Co-payment
B-SPIRE
O-Provider
G-Preferred Provider
B-ODAR
I-ACET
G-Out-of-pocket Limit
N-Doc360
N-Medically Necessary
O-Emergency Medical Transportation
G-Excluded Services
O-ICUE
I-Network
B-Non-Preferred Provider
B-Appeal
B-Reconstructive Surgery
I-Emergency Room Care
O-Emergency Services
O-Co-insurance
O-Hospital Outpatient Care
N-Grievance
I-Prescription Drug Coverage
B-Skilled Nursing Care
G-In-network Co-insurance
N-Balance Billing
G-DocDNA
G-Durable Medical Equipment
B-Preauthorization
