Blue Shield definition

Blue Shield means Highmark Inc. d/b/a Highmark Blue Shield.
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Blue Shield. ’ shall mean Highmark Inc. d/b/a Highmark Blue Shield.
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Examples of Blue Shield in a sentence

  • The Blue Cross Blue Shield Global Core is unlike the BlueCard Program available in the BlueCard service area in certain ways.

  • For instance, although the Blue Cross Blue Shield Global Core assists you with accessing a network of inpatient, outpatient and professional providers, the network is not served by a Host Blue.

  • If you, or someone you’re helping, has questions about Blue Cross & Blue Shield of Rhode Island, you have the right to get help and information in your language at no cost.

  • Thank you for choosing Blue Cross & Blue Shield of Rhode Island (BCBSRI) for your healthcare coverage.

  • A Member must contact Blue Cross Blue Shield of Wyoming at (800) 442‐2376 to obtain Authorization before receiving these Healthcare Services.

  • For institutional and professional claims, you should complete a Blue Cross Blue Shield Global Core claim form and send the claim form with the provider’s itemized bill(s) to the service center (the address is on the form) to initiate claims processing.

  • Most providers (“participating providers”) contract with the local Blue Cross and/or Blue Shield Plan in that geographic area (“Host Blue”).

  • Spanish: Si usted, o alguien a quien usted está ayudando, tiene preguntas acerca de Blue Cross & Blue Shield of Rhode Island, tiene derecho a obtener ayuda e información en su idioma sin costo alguno.

  • Therefore, the amount paid by Blue Cross and Blue Shield of Montana to nonparticipating providers under the system can be considerably less than the nonparticipating providers’ billed charge.

  • Blue Cross Blue Shield Global® Core If you are outside the United States (hereinafter “BlueCard service area”), you may be able to take advantage of the Blue Cross Blue Shield Global Core when accessing covered healthcare services.

Related to Blue Shield

  • Gonad shield means a protective barrier for the testes or ovaries.

  • HMO means any health maintenance organization, managed care organization, any Person doing business as a health maintenance organization or managed care organization, or any Person required to qualify or be licensed as a health maintenance organization or managed care organization under applicable federal or state law (including, without limitation, HMO Regulations).

  • CMS means the Centers for Medicare and Medicaid Services.

  • Health plan or "health benefit plan" means any policy,

  • CAL means client access license.

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • School health services means health services provided by a qualified school nurse or other qualified person that are designed to enable a child with a disability to receive FAPE as described in the child’s IEP.

  • Network pharmacy means any pharmacy that has an agreement to accept our pharmacy allowance for prescription drugs and diabetic equipment/supplies covered under this agreement. All other pharmacies are NON-NETWORK PHARMACIES. The one exception and for the purpose of specialty Prescription Drugs, only specialty pharmacies that have an agreement to accept our pharmacy allowance are network pharmacies and all others pharmacies are non-network pharmacies.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or

  • Regional health planning agency means the regional agency, including the regional health planning

  • Privacy Shield means the European Union (EU) -U.S. and Switzerland – U.S. Privacy Shield frameworks.

  • TRICARE means, collectively, a program of medical benefits covering former and active members of the uniformed services and certain of their dependents, financed and administered by the United States Departments of Defense, Health and Human Services and Transportation, and all laws applicable to such programs.

  • DOH means the department of health.

  • State health plan means the employee and retiree insurance program provided for in Article 5, Chapter 11, Title 1.

  • Group health plan means an employee welfare benefit plan as defined in section 3(1) of subtitle A of title I of the employee retirement income security act of 1974, Public Law 93-406, 29 USC 1002, to the extent that the plan provides medical care, including items and services paid for as medical care to employees or their dependents as defined under the terms of the plan directly or through insurance, reimbursement, or otherwise.

  • DOT means the United States Department of Transportation.

  • HCPCS means CMS' Healthcare Common Procedure Coding System, which describes products, supplies, procedures and health professional services and includes, the American Medical Associations (AMA's) Physician "Current Procedural Terminology", Fourth Edition (CPT-4) codes, alphanumeric codes, and related modifiers.

  • HCD means the California Department of Housing and Community Development.

  • MCP means a Material Change Proposal for the Station issued on [ ];

  • Audiologist means an individual who is licensed by a state to practice audiology.

  • Pharmacy means prescribed drugs and medicines dispensed by a pharmacist and/or travel and allergy vaccines dispensed by a pharmacist or doctor.

  • Chip means an integrated circuit embedded in the Card.

  • ODMHSAS means the Oklahoma Department of Mental Health and Substance Abuse Services.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Pharmacist services means products, goods, and services, or any combination of products, goods, and services, provided as a part of the practice of pharmacy.

  • Radiologist means a medical practitioner who specialises in the provision of radiological services within the meaning of the Health Insurance Act 1973.