A | B |
ITS | INTERPLAN TELEPROCESSING SYSTEM |
HPA | HOME PLAN AID |
OPL | ANOTHER CARRIER HAS PROCESSED THE CHARGES |
ALPHA PREFIX | THREE LETTERS IN FRONT OF THE ID NUMBER |
BLUE CARD | PROGRAM THAT ALLOWS BLUE PLANS TO TAKE ADVANTAGE OF EACH OTHER'S DISCOUNTS |
HOME PLAN | PLAN THROUGH WHICH THE MEMBER HAS AN INSURANCE POLICY |
ITFI | FILE WHERE RECORDS OF TRANSMISSIONS BETWEEN PLANS REGARDING SPECIFIC CLAIMS ARE KEPT |
SCCF | INVOICE/SERIAL NUMBER OF EACH CLAIM |
DF | RESPONSE TO SF DETAILING PAYMENT INFORMATION BASED UPON THE MEMBER'S CONTRACT BENEFITS |
SIRF | SENDING A MESSAGE TO ANOTHER PLAN |
LOCAL PLAN | ANY CLAIM THAT IS NOT HOME OR HOST |
03 | A RESPONSE TO AN 02 REQUEST |
06 | A REQUEST FOR AN ADJUSTMENT |
VOID ONLY | TAKE ALL THE MONEY BACK |
ADMINISTRATION FEE | AMOUNT CHARGED BY THE HOST PLAN FOR USING THEIR PRICING. |
HOST PLAN | PLAN IN THE STATE WHERE SERVICES WERE RENDERED |
CFA | REGULATES FUNDS BETWEEN PLANS |
SF | ELECTRONIC FILE SENT FROM HOST PLAN INDICATATING CHARGES, PRICING, AND PROVIDER INFORMATION |
02 | AN INQUIRY TO THE OTHER PLAN |
07 | RESPONSE TO AN 06 REQUEST |
RF | ELECTRONIC FILE SENT FROM HOST PLAN IN RESPONSE TO DF REQUESTING REIMBURSEMENT FOR AMOUNTS PAID TO THE PROVIDER FOR THE HOME PLAN'S MEMBER |