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Glossary of Health Coverage and Medical Terms

WEBi. Plan. Health coverage issued to you directly (individual plan) or through an employer, union or other groupsponsor (employer group plan) that provides coverage for certain …

Actived: 6 days ago

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

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 …

Category:  Health Go Health

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 …

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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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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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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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meQuilibrium Provider Toolkit

WEBmeQuilibrium Provider Toolkit Florida Blue is an independent licensee of the Blue Cross and Blue Shield Association. 109183 1223R

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Plan All-Cause Readmissions (PCR)

WEBHEDIS MEASURE. Plan All-Cause Readmissions (PCR) 2 104343 0224R. Exclusions. • Members with a primary diagnosis of pregnancy onthe dischargeclaim • Primary …

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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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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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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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AUTHORIZATION FOR DISCLOSURE OF PHI RECORDS

WEBHealth insurance is offered by Florida Blue. HMO coverage is offered by Florida Blue HMO, Truli for Health and Florida Blue Medicare, Inc., which are affiliates of Florida Blue.

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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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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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2024 HEDIS Measure FUM

WEBThe measure includes members, age 6 or older, who had emergency department (ED) visits with a primary diagnosis (first diagnosis on the claim) of mental illness or intentional self …

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2023 GuideWell Impact Report

WEBInvesting in Health Equity. In 2023, GuideWell invested $4 million in business initiatives and grants to nonprofit organizations as part of our five-year, $25 million pledge for the …

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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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