General Health Insurance Abbreviations
- A&G – Administrative and General
- ABN – Advance Beneficiary Notice
- ACT – Assertive Community Treatment
- ADHC – Adult Day Health Care
- ADT – Admission, Discharge, and Transfer
- AIU – Adopt, Implement, and Upgrade
- ALC – Alternate Level of Care
- ALOS – Average Length of Stay
- ALP – Assisted Living Program
- ALS – Advanced Life Support
- AMA – Against Medical Advice
- APC – Advanced Primary Care
- CC – Complications and Comorbidities
- CCD – Continuity of Care Document
- CFR – Code of Federal Regulations
- CIN – Clinically Integrated Network
- CLAS – Culturally and Linguistically Appropriate Services
- COB – Coordination of Benefits
- COC – Certificate of Coverage
- COI – Certificate of Insurance
- COMP – Comprehensive Insurance
- CON – Certificate of Need
- CPT – Current Procedural Terminology
- DME – Durable Medical Equipment
- DOS – Date of Service
- DRG – Diagnosis-Related Group
- E&M – Evaluation and Management
- ECHO – Emergency Care and Hospital Operations
- EHR – Electronic Health Record
- ELPS – English Language Proficiency Survey
- EMR – Electronic Medical Record
- EMS – Emergency Medical Services
- EOB – Explanations of Benefits
- EOC – Evidence of Coverage or Effectiveness of Care
- EOMB – Explanation of Medicare Benefits
- FOB – Field of Practice
- HISP – Health Information Service Provider
- HIT – Health Information Technology
- I-STOP – Internet System for Tracking Over-Prescribing
- ICM – Individual Case Management
- Ins – Insurance
- IP – Inpatient
- LEP – Limited English Proficiency
- LOS – Length of Stay
- LTC – Long-Term Care
- LTD – Long-Term Disability
- LWDII – Lost Work Day Injury and Illness
- MA – Medical Assistance
- Max – Maximum
- MB – Medical Benefits
- MCO – Managed Care Organization
- MCS – Managed Care System
- MLTC – Managed Long-Term Care
- MM – Major Medical
- MOLST – Medical Orders for Life-Sustaining Treatment
- NDC – National Drug Code
- OP – Outpatient
- OPL – Other Party Liability
- OTC – Over the Counter
- PERS – Personal Emergency Response System
- PHA – Personal Health Assessment
- PHI – Protected Health Information
- PHR – Personal Health Record
- POA – Power of Attorney
- QA – Quality Assurance
- QI – Quality Improvement
- Remit – Remittance
- Retro – Retroactive
- ROI – Release of Information
- Rx – Prescription Drug
- SBC – Uniform Summary of Benefits and Coverage
- SDS – Socio-Demographic Status
- SES – Socioeconomic Status
- SSN – Social Security Number
- STD – Short-Term Disability
- UR – Utilization Review
- WH – Withhold
- YTD – Year to Date
Facility Abbreviations
- ACF – Adult Care Facility
- ALF – Assisted Living Facility
- ASC – Ambulatory Surgical Center
- CAH – Critical Access Hospital
- CCU – Cardiac Care Unit
- CHC – Community Health Center
- D&T – Diagnostic and Treatment Center
- ECF – Extended Care Facility
- ED – Emergency Department
- ER – Emergency Room
- HOPD – Hospital Outpatient Department
- ICU – Intensive Care Unit
- IOM – Institute of Medicine
- LTCH – Long-Term Care Hospital
- MDH – Medicare Dependent Hospital
- OR – Operating Room
- OV – Office Visit
- PCMH – Patient-Centered Medical Home
- SNF – Skilled Nursing Facility
- UCC – Urgent Care Center
Authorization and Financial Abbreviations
- AB – Allowed Benefit
- APM – Advanced Alternative Payment Model
- APTC – Advanced Premium Tax Credit
- Auth – Authorization
- BD/CC – Bad Debt/Charity Care
- BPCI – Bundled Payments for Care Improvement
- CCR – Cost-to-Charge Ratio
- CRY – Cost Reporting Year
- DP – Direct Pay or Direct Processing
- E&B, EB, or EAB – Enrollment and Billing
- E&L – Exclusions and Limitations
- FFS – Fee for Service
- FFY – Federal Fiscal Year
- FI – Fiscal Intermediary
- FSA – Flexible Spending Account
- HRA – Health Reimbursement Account
- HRET – Health Research & Educational Trust
- HSA – Health Savings Account
- IRF – Inpatient Reading Fee
- MAC – Maximum Allowable Cost/Maximum Annual Copayment
- MEIPASS – Medicaid EHR Incentive Payment Administrative Support Service
- MIPS – Merit-based Incentive Payment System
- Medigap – Medicare Supplemental Insurance
- MEDS – Medi-Cal Eligibility Data System
- MLR – Medical Loss Ratio
- MOOP – Maximum Out of Pocket
- OOP – Out-of-Pocket
- OPAP – Outpatient Pretreatment Authorization Plan
- OCL – Outstanding Claims Liability
- Pre-auth – Pre-Authorization
- Pre-X – Pre-existing Conditions
- SF – Self-Funded
- SSI – Supplemental Security Income
- TrOOP – True Out of Pocket
- UCC – Uncompensated Care
- WC – Worker’s Compensation
Plan-Specific Abbreviations
- AHIP – America’s Health Insurance Plans
- ASC – Administrative Service Contract
- ASO – Administrative Services Only
- BHP – Basic Health Program
- CDHP – Consumer-Directed Health Plan
- CMP – Competitive Medical Plan
- HDHP – High-Deductible Health Plan
- HEDIS®: Health Plan Employer Data and Information Set
- HMO – Health Maintenance Organization
- MEC – Minimum Essential Coverage
- Non-par – Not participating (out-of-network)
- NPI – National Provider Identifier
- OOA – Out-of-Area Program
- Par or PAR – Participating
- PPA – Preferred Provider Arrangement
- PPO – Preferred Provider Organization
- QHP – Qualified Health Plan
- SEGO – Small Employer Group Options
- SRO – Self-Referral Option
Healthcare Professional Abbreviations
- AHP – Allied Health Professional
- CMIO – Chief Medical Information Officer
- CMO – Chief Medical Officer
- CNA – Certified Nurse Aide
- CNM – Certified Nurse Midwife
- CNO – Chief Nursing Officer
- CPHQ – Certified Professional in Healthcare Quality
- CRNA – Certified Registered Nurse Anesthetist
- CRNP – Certified Registered Nurse Practitioner
- DO – Doctor of Osteopathic Medicine
- EMT – Emergency Medical Technician
- LPN – Licensed Practical Nurse
- LPT – Licensed Physical Therapist
- LVN – Licensed Vocational Nurse
- MAC – Medicare Administration Contractor
- MD – Medical Doctor
- NP – Nurse Practitioner
- OB – Obstetrician
- OB-GYN – Obstetrician-Gynecologist
- PA – Physician’s Assistant
- PCA – Personal Care Assistant
- PCP – Primary Care Physician
- PT – Physical Therapist
- RN – Registered Nurse
- RPT – Registered Physical Therapist
- RT – Respiratory Therapist
- SLP – Speech-Language Pathologist
Committee and Association Abbreviations
Every health insurance policy and the decision is regulated by various committees, bureaus, organizations, or administrations. Abbreviations for these groups include:
- AAHPM – American Academy of Hospice and Palliative Medicine
- AAHSA – American Association of Homes and Services for the Aging
- AAP – American Academy of Pediatrics
- ACIP – Advisory Committee on Immunization Practices
- ACO – Accountable Care Organization
- ACOG – American Congress of Obstetricians and Gynecologists
- ACS – American Community Survey
- AHRQ – Agency for Healthcare Research and Quality
- AMA – American Medical Association
- AMIA – American Medical Informatics Association
- APS – Adult Protective Services
- ARRC – Administrative Regulations Review Commission
- ASPE – Office of the Assistant Secretary for Planning and Evaluation, HHS
- BCBSA – Blue Cross and Blue Shield Association
- BLS – Bureau of Labor Statistics
- BOI – Bureau of Insurance
- CDC – Centers for Disease Control and Prevention
- CHHA – Certified Home Health Agency
- CHIP – Children’s Health Insurance Program
- CMS – Centers for Medicare and Medicaid Services (previously HCFA)
- CPHP – Center for Public Health Preparedness
- CPS – Child Protective Services
- DFS – Department of Financial Services
- DHMH – Department of Health and Mental Hygiene
- DHMO – Dental Health Maintenance Organization
- DMAS – Department of Medical Assistance Services
- DMO – Dental Maintenance Organization
- DOH – Department of Health
- DOL – Department of Labor
- EPO – Exclusive Provider Organization
- FDA – Food and Drug Administration
- FEMA – Federal Emergency Management Agency
- HCACC – Health Care Access and Cost Commission
- HCFA – Health Care Finance Administration
- HHA – Home Health Agency
- HHS – U.S. Department of Health and Human Services
- HIAA – Health Insurance Association of America
- HSCRC – Health Services Cost Review Commission
- IPA – Independent or Individual Practice Association
- ISO – International Organization for Standardization
- JCAHO – Joint Commission on Accreditation of Healthcare Organizations
- LHCSA – Licensed Home Care Services Agency
- NAIC – National Association of Insurance Commissioners
- NASCO – National Account Service Corporation
- NCCN – National Comprehensive Cancer Network
- NCI – National Cancer Institute
- NCQA – National Committee for Quality Assurance
- NCVHS – National Committee on Vital and Health Statistics
- NCHS – National Center for Health Statistics
- NHeLP – National Health Law Program
- NHPC – National Health Plan Collaborative
- NIMH – National Institute of Mental Health
- OCR – Office for Civil Rights, HHS
- OMB – Office of Management and Budget
- OMH – Office of Minority Health, HHS
- ONC – Office of the National Coordinator for Health Information Technology, HHS
- P&T – Pharmacy & Therapeutics Committee
- PHIN – Public Health Information Network
- PHO – Physician Hospital Organization
- PPN – Preferred Provider Network
- SSA – Social Security Administration
Legislation and Program Abbreviation
- ACA – Affordable Care Act
- ADA – Americans with Disabilities Act of 1990
- ADAP – AIDS Drug Assistance Program
- AHA – American Hospital Association
- AHCA – American Health Care Association
- ARRA – American Recovery and Reinvestment Act of 2009
- CHAMPUS – Civilian Hospital and Medical Program of the Uniformed Service (Tricare)
- COBRA – Consolidated Omnibus Budget Reconciliation Act of 1986
- CPEP – Comprehensive Psychiatric Emergency Program
- DBL – Disability Benefits Law
- DEFRA – Deficit Reduction Act of 1984
- EAP – Employee Assistance Program
- EIP – Early Intervention Program
- EISEP – Expanded In-Home Services for the Elderly Program
- EMTALA – Emergency Medical Treatment and Labor Act
- EPIC – Elderly Pharmaceutical Insurance Coverage
- ERISA – Employee Retirement Income Security Act
- FAMIS – Family Access to Medical Insurance Security Plan
- FEBHP – Federal Employee Benefits Health Plan
- FEP – Federal Employee Program
- FHCDA – Family Health Care Decisions Act of 2010
- FICA – Federal Insurance Contribution Act
- FMLA – Family and Medical Leave Act
- FOIA – Freedom of Information Act
- HIPAA – Health Insurance Portability and Accountability Act of 1996
- HCRA – Health Care Reform Act
- HCUP – Healthcare Cost and Utilization Project
- MACRA – Medicare Access and CHIP Reauthorization Act of 2015
- MHPAEA – Mental Health Parity and Addiction Equity Act
- MIPPA – Medicare Improvements for Patients and Providers Act of 2008
- MMA – Medicare Prescription Drug, Improvement, and Modernization Act of 2003
- MMSEA – Medicare, Medicaid, and SCHIP Extension Act of 2007
- MSSOP – Mandatory Second Surgical Opinion Program
- NQF – National Quality Forum
- NRC – National Research Council
- NSC – National Safety Council
- OBRA – Omnibus Budget Reconciliation Act of 1986
- OSHA – Occupational Safety and Health Act
- OTP – Opioid Treatment Program
- PHL – Public Health Law
- PPACA – Patient Protection and Affordable Care Act
- RAETT – U.S. Census Bureau’s 1996 Racial and Ethnic Targeted Test
- TANF – Temporary Assistance for Needy Families
- TEFRA – Tax Equity and Fiscal Responsibility Act of 1982
- VAPAP – Vital Access Provider Assurance Program
- WIC – Women, Infants, and Children (supplemental food program)
Medical Terminology Abbreviations
- AD&D – Accidental Death and Dismemberment
- ADE – Adverse Drug Event
- AIDS – Acquired Immunodeficiency Syndrome
- AMI – Acute Myocardial Infarction
- BSI – Bloodstream Infection
- CAD – Coronary Artery Disease
- CBE – Clinical Breast Examination
- CHD – Coronary Heart Disease
- CHF – Congestive Heart Failure
- CLABSI – Central Line-Associated Bloodstream Infection
- CLI – Central Line Infection
- COPD – Chronic Obstructive Pulmonary Disease
- CPR – Cardiopulmonary Resuscitation
- CVA – Cerebral Vascular Accident
- DNR – Do-Not-Resuscitate Order
- DVT – Deep Vein Thrombosis
- ENT – Ears, Nose, and Throat
- ESRD – End-Stage Renal Disease
- HAC – Healthcare-Acquired Condition
- HAI – Healthcare-Acquired Infection
- IUD – Intrauterine Device
- IV – Intravenous
- LAIV – Live Attenuated Influenza Vaccine
- MAT – Medication-Assisted Treatment
- MCC – Major Complication or Comorbidity
- MICA – Mentally Ill Chemical Abuser
- MRI – Magnetic Resonance Imaging
- SAE – Serious Adverse Event
- SARS – Severe Acute Respiratory Syndrome
- SSI – Surgical Site Infection
- SSO – Second Surgical Opinion
- ST – Speech Therapy
- SUD – Substance Use Disorder
- TBI – Traumatic Brain Injury
- TB – Tuberculosis
- THA – Total Hip Arthroplasty
- TJA – Total Joint Arthroplasty
- VAE – Ventilator-Associated Event
- VSSOP – Voluntary Second Surgical Opinion
Coverage and Policy Abbreviations
- AIP – Assigned Risk
- BAP – Business Auto Policy
- BI – Bodily Injury Liability Insurance
- BOP – Business Owners Policy
- CISR – Certified Insurance Service Representative
- CFR – Certificate of Financial Responsibility (also known as an SR-22)
- COLL – Collision Coverage for Insured Vehicle Damages
- COMP – Comprehensive Coverage for Vehicle Theft, Vandalism, or Vehicle vs Animal
- CVIN – Confidential Vehicle Identification Number
- CPT – Current Procedural Terminology
- Dec or Dec Page – Declarations Page of insurance policy
- DED – Deductible
- DMV – Department of Motor Vehicles
- DOT – Department of Transportation
- DOB – Date of Birth
- DOC – Driver Other Car coverage
- DOI – Department of Insurance
- ETB – Engaged in Trade or Business
- EXC – Excluded Driver
- FCRA – Fair Credit Reporting Act
- FIC – Foreign Insurance Policy
- FTCAC – Fire, Theft, and Combined Additional Coverage
- GAP – Guaranteed Auto Protection
- GEICO – Government Employee Insurance Company
- GL – General Liability
- GVW – Gross Vehicle Weight
- GWP – Gross Written Premium
- LOC – Letter of Credit
- MPCI – Multi-Peril Crop Insurance
- MSF – Motorcycle Safety Foundation
- OOP – Out of Pocket
- PA – Public Adjuster
- PAP – Personal Auto Policy
- PH – Policy Holder
- P&I – Protection and Indemnity
- PIA – Primary Insurance Account
- PIP – Personal Injury Protection or Personal Injury Policy
- PMA – Package Modification Adjustment
- REG – Registration / Registered
- RBC – Risk-Based Capital
- RBNE – Reserved but not Enough
- RPA – Registered Professional Adjuster
- RR – Rental Reimbursement Coverage
- SPAP – Special Personal Auto Policy
- SRS – Supplementary Restraint System
- SPIN – Secondary Product Identification Number
- SVIN – Secondary Vehicle Identification Number
- UL – Umbrella Liability; Underwriters’ Laboratories
- UM – Uninsured or Underinsured Motorist Coverage
- UMPD – Uninsured Motorist Property Damage Coverage
- U&O – Use and Occupancy
- VIN – Vehicle Identification Number
Claim Abbreviations
- AD – Auto Damage or Adverse Driver
- BI – Bodily Injury
- CC – Claimant Carrier
- CD – Claimant Driver
- CL or CLMT – Claimant
- CP – Claimant Vehicle Passenger
- CV – Claimant Vehicle
- CVD – Claimant Vehicle Driver
- DNOP – Driver Not On Policy
- FX – Fracture
- HWP – Hit While Parked
- ID – Insured Driver
- IGP – Insured Guest Passenger
- IV – Insured Vehicle
- IVD – Insured Vehicle Driver
- LAE – Loss Adjustment Expense
- LD – Loaned Driver
- LH – Lienholder
- LMV – Larceny of a Motor Vehicle
- MVA – Motor Vehicle Accident
- NI – Named Insured
- NISP – Named Insured’s Spouse
- NRT – National Response Team
- OT – Other Party or Other Person
- OTC – Other Than Collision
- OV – Other Vehicle
- PAR – Police Accident Report
- P&C – Property and Casualty
- PC – Professional Corporation
- PED – Pedestrian
- PI – Personal Injury
- PR – Police Report
- QC – Questionable Claim
- RATT – Regional Auto-Theft Taskforce
- R/E – Rear End
- RP – Reporting Party
- RS – Recorded Statement
- RSM – Receiving a Stolen Motor Vehicle
- S/S – Stop Sign
- S/T – Soft Tissue
- SWP – Struck While Parked
- TPA – Third-Party Administrator
- UIM – Underinsured Motorist
- UIMV – Underinsured Motor Vehicle
- ULD – Unlisted Driver
- UMBI – Uninsured Motorist Bodily Injury
- UMV – Uninsured Motor Vehicle
- V1 – Victim One
Post-Claim Abbreviations
- ACV – Actual Cash Value
- ALE – Additional Living Expenses
- AOB – Assignment of Benefits
- CN – Contributory Negligence
- DC – Chiropractor
- DI – Disability Income
- DJ – Declaratory Judgement
- DOL – Date of Loss
- DOJ – Department of Justice
- DOD – Date of Death
- EUO – Examination Under Oath
- FOL – Facts of Loss
- FMV – Fair Market Value
- FNOL – Fair Notice of Loss
- FVD – Full Value Declared
- IFC – Insured Fixed-Price Cleanup
- IME – Independent Medical Exam
- IMR – Independent Medical Record Review
- LMTCB – Left Message to Call Back
- LTA – Lost Time Accident; Long Term Agreement
- MP or Med Pay – Medical Payments Coverage
- MVR – Motor Vehicle Record/Report
- NF – No Fault
- NICB – National Insurance Crime Bureau
- OSLR – Outstanding Loss Reserves
- PD – Property Damage
- PT – Physical Therapy
- RC – Replacement Cost
- RTW – Return to Work
- SIU – Special Investigative Unit (Investigator)
- SNOL – Statement of No Loss
- TDB – Temporary Disability Benefits
- TL – Total Loss
- TTD – Temporary Total Disability
- TX – Treatment
- ULAE – Unallocated Loss Adjustment Expenses
- UNL – Ultimate Net Loss
- WC – Workers Compensation
- WCB – Workers Compensation Board
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