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5 Cards in this Set

  • Front
  • Back
· Abandonment Rate
Percentage of calls that reach the BCBSNC phone system queue, but the caller hangs up before connected to a service representative.
· Adjudication
The process of determining the reimbursement applicable to a particular claim.
· Ambulatory Care
Medical services that are provided on an outpatient (non-hospitalized) basis, including the office setting. Generally synonymous with outpatient; however some outpatient services may be excluded.
· Average Speed of Answer
The average amount of time elapsed from the time a phone call enters the BCBSNC phone system and an option is selected, until a service representative answers the call.
· Benefit Booklet
A North Carolina Department of Insurance filed document that contains a detailed explanation of coverage provided by the health plan to a specific group or member.