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Disability > Abbreviations > Flashcards

Abbreviations Flashcards

1
Q

FMLA

A

Family Medical Leave Act - unpaid job protection for your own serious health condition, care of a family member or child bonding

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2
Q

STD

A

Short term disability - % of pay for being out of work and unable to perform the material functions of ones job duties. Typically short term disability has a max duration of 13, 26 or 52 weeks (max duration is plan specific); transitioning into LTD if needed.

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3
Q

LTD

A

Long term disability - % of pay for being out of work and unable to perform the material functions of ones job duties; typically after a waiting period of 60 or 180 days.

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4
Q

NYPFL

A

New York Paid Family Leave - State benefit allowing up to 12 weeks of pay benefits for child bonding, care of family member or military contingency leaves. NYPFL benefits are a weekly benefit of 67% of pre-disability earnings (up to a max of $1,068.36 in 2022)

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5
Q

NYDBL

A

New York Disability Benefit Law - State benefit allowing up to 26 weeks of pay up to $170 a week max benefit. NYDBL is for employee’s own serious health condition only.

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6
Q

NJTBD

A

New Jersey Temporary Disability Benefits Law - Non-Occupational short term disability plan funded through a tax supported state fund

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7
Q

PFML

A

Paid Family Medical Leave - CT, MA, WA state leave for ones own serious health condition, care of family member or child bonding. Leave options/qualifying reasons vary by state as well as qualifying family members.

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8
Q

TAM

A

Total Absence Management - Unified approach to tracking and managing planned and unplanned absences. TAM is an internal term and should not be used with callers. Sample leave types include: military leave, jury duty, bereavement leave, personal leave, educational leave, parental leave and more

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9
Q

EE

A

Employee

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10
Q

ER

A

Employer

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11
Q

LDW

A

Last Day Worked (last physical day worked)

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12
Q

DOD

A

Date of Disability (could also be date of delivery for maternity leave claims)

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13
Q

SX

A

Surgery

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14
Q

FDA

A

First day absent (first day scheduled to work but did not)

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15
Q

SAL CONT

A

Salary continuance (PTO, sick, vacation time paid out while out of work during disability)

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16
Q

OOW

A

Out of work

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17
Q

ERTW

A

Estimated return to work (when they have not physically returned to work yet but have an idea of when they might)

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18
Q

ARTW

A

Actual return to work (EE has physically returned to work)

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19
Q

OP

A

Overpayment

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20
Q

EFT

A

Electronic funds transfer (similar to direct deposit but more along the lines of a wire transfer as the funds take up to 4 business days to go into the EE’s account once issued)

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21
Q

CM / CS

A

Case manager or case specialist; the one who handles the claim and claim decisions

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22
Q

UL

A

Unit leader - the cm / cs supervisor

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23
Q

CN / NC

A

Clinical nurse / nurse clinician. Review medical information for the claim when requested/referred by case manager.

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24
Q

CSR

A

Customer service representative

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25
Q

CCA

A

Customer care advocate

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26
Q

ADV

A

Advised / advise

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27
Q

A&S

A

Accident & Sickness (another name for STD)

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28
Q

AAW

A

Actively at work (not out of work yet)

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29
Q

ADL

A

Actives of Daily Living (bathing, walking, eating, driving, caring for dependents, cleaning…)

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30
Q

AFI

A

Annual Financial Inquiry; form used in LTD for yearly updates

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31
Q

OCC

A

Occupation

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32
Q

AP

A

Attending Physician

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33
Q

AWW

A

Average Weekly Wage

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34
Q

BHA

A

Behavioral Health Assessment - form used for mental health claims

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35
Q

CBR

A

Call Back Request

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36
Q

HCPO

A

Health Care Provider Office

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37
Q

CCL

A

Child Care Leave

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38
Q

CED

A

Claim End Date

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39
Q

COLA

A

Cost of Living Adjustment

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40
Q

CSS

A

Claims Support Specialist - Member of the claims team used for assistance on claims and broker support.

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41
Q

DCN

A

Document Control Number (number assigned to incoming correspondence to identify correspondence)

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42
Q

DIS or DISA

A

Disability

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43
Q

DMR

A

Detailed Medical Request - Request sent to the HCPO for medical needed to review the claim

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44
Q

DOB

A

Date of Birth

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45
Q

DOH

A

Date of Hire

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46
Q

DX

A

Diagnosis

47
Q

EAP

A

Employee Assistance Program

48
Q

EML

A

Employee Medical Leave

49
Q

EOB

A

Explanation of Benefits (what is paid out)

50
Q

EP

A

Elimination or waiting period; how long before benefits can be issued out. This is an unpaid period of time on MetLife’s end!

51
Q

EXT

A

Extension

52
Q

FFD

A

Fitness for duty

53
Q

FOV

A

First office visit

54
Q

F/T

A

Full time

55
Q

P/T

A

Part Time

56
Q

F/U

A

Follow-up

57
Q

GOSC

A

Global Operations Support Center

58
Q

HCPC

A

Health Care Provider Certification (form needed for FMLA claims only)

59
Q

HCP

A

Health Care Provider

60
Q

ICD

A

International Classification of Diseases; a list of diagnosis and identifying codes used by physicians and other health care providers

61
Q

ICP

A

Initial Claim Packet (forms sent to the EE after the claim is created)

62
Q

IME

A

Independent medical examination

63
Q

IPC

A

Independent Physician Consultant

64
Q

INQ

A

Inquiry / inquire

65
Q

J/C

A

Job Class

66
Q

JD

A

Job Description

67
Q

LOA

A

Leave of Absence

68
Q

LOM

A

Lack of Medical

69
Q

LOS

A

Length of Service

70
Q

LOV

A

Last office visit

71
Q

MBD

A

Max benefit duration

72
Q

MED

A

Medical

73
Q

NON OCC

A

Non occupational (did not happen at work)

74
Q

NP

A

Nurse practicioner

75
Q

OOW

A

Out of Work

76
Q

OT

A

Occupational Therapy

77
Q

OUTPT

A

Outpatient

78
Q

OVN

A

Office Visit Note (not an out of work note; sometimes referred to as an office visit summary note)

79
Q

OWN OCC

A

Own Occupation

80
Q

PA

A

Physician Assistant

81
Q

PCP

A

Primary Care Physician

82
Q

PCS

A

Physic Clinical Specialist

83
Q

PED

A

Payment effective date

84
Q

PFL

A

Paid family leave

85
Q

PFR

A

Physician file review

86
Q

POB

A

Proof of birth

87
Q

PRE EX

A

Pre Existing (already had condition when insurance whet into effect or during a set period of time before a claim was filed)

88
Q

PTO

A

Paid time off

89
Q

R&L

A

Restrictions and Limitations (what one can or cannot do under advice of their treating physican)

90
Q

RECD

A

Received

91
Q

REHAB

A

Rehabilitation

92
Q

RN

A

Registered Nurse

93
Q

ROM

A

Range of Motion

94
Q

ROI

A

Release of Information

95
Q

SHU

A

Special Handling Unit (team of case managers and UL’s that take over LTD claims after one is on LTD for a certain period of time; typically once it is deemed that the EE is unable to hold any gainful employment and will never be able to work again)

96
Q

SHC

A

Serious Health Condition

97
Q

SSDI

A

Social Security Disability Insurance

98
Q

S/W

A

Spoke with

99
Q

TD

A

Total disability

100
Q

TDI

A

Temporary Disability Insurance (state disability for Rhode Island and Hawaii)

101
Q

T/F

A

Time frame

102
Q

T&P

A

Total and Permanant

103
Q

TS

A

Technical support

104
Q

UTC

A

Unable to Contact

105
Q

VM

A

Voicemail

106
Q

VRC

A

Vocational Rehab Consultant

107
Q

WBR

A

Weekly benefit rate

108
Q

WC

A

Workers Compensation

109
Q

W/

A

With

110
Q

w/o

A

Without

111
Q

WP

A

Waiting period (also referred to as the elimination period)

112
Q

WSTD

A

Worksite Short Term Disability

113
Q

XFER

A

Transfer

Disability (4 decks)

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