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