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HGB > Acronyms > Flashcards

Acronyms Flashcards

1
Q

ACO**

A

Accountable Care Organization - the name of a 3-year (through 2023) pilot program partnership with DHA, Kaiser Permanente and Humana Military. It allows beneficiaries to seek care from Kaiser network providers in Atlanta, GA area to improve efficiency and effectiveness of care.

• Prime coverage plan option only in the East region.

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2
Q

AD

A

Active Duty - sponsor’s status while activated in the military.

• Family members will follow the status

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3
Q

ADDS

A

Active Duty Deceased Sponsor - ADSM (Active Duty Service Member) died while on Active Duty Status.

  • Surviving children are eligible for AD benefits until they age out (age 21 or up to age 23 for full-time college students)
  • Surviving spouse is eligible for AD benefits for 3 years after the sponsor’s deceased date. (After 3 years, he/she would be eligible for Non-Active duty benefits and must pay fees for their enrollment.)
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4
Q

ADFM

A

Active Duty Family Member - dependents of an active duty service member.

  • Spouse
  • Children
  • Step-children
  • Ward
  • Parent/Parent-in-law – CEBO will not process transactions.
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5
Q

ADSM

A

Active Duty Service Member - a member of the uniformed services.

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6
Q

ATC

A

Access to Care - urgent medical issues (care needed, prescription needed, etc.)

• ATC standards means within a 30-minute drive time.

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7
Q

BWE

A

Beneficiary Web Enrollment - government web applications that allows a sponsor and/or family member to initiate enrollment transactions (address updates, PCM change, new enrollment, etc.)

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8
Q

BENE

A

Beneficiary - a person that could be eligible for TRICARE benefits.

  • Sponsor
  • Spouse
  • Child, Step-children, Ward, Adoptee, etc.
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9
Q

CHCBP**

A

Continued Health Care Benefit Program - a temporary transitional health plan that provides continuous coverage immediately after TRICARE eligibility ends for specific beneficiaries.

  • CHCBP is not a TRICARE program.
  • Humana Military is the contractor to service the world.
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10
Q

DBN

A

DEERS Beneficiary ID Number - unique number used in place of the sponsor’s ID (SSN).

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11
Q

DEERS

A

Defense Enrollment Eligibility Reporting System - a government area responsible for updating the sponsor’s and family members’ eligibility per uniformed services.

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12
Q

DHA

A

Defense Health Agency - integrated support agency that provides direction for military medical services.

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13
Q

DMDC

A

Defense Manpower Data Center - a managed care support contractor that manages the Government OpsConnect applications (DOES, PCM Research, etc.)

• DMDC has a TRICARE contract like Humana Military.

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14
Q

DMIS ID

A

Defense Military Information System ID - a four digit internal number used to identify a Military Treatment Facility (MTF).

• The caller does not know the number.

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15
Q

DOB

A

Date of Birth - required for authentication purposes to authorize a caller.

• If the caller is calling about another family member, he/she must provide the first/last name and DOB as well.

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16
Q

DoD

A

Department of Defense - U.S government area responsible for military operations.

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17
Q

DOES

A

Defense Online Enrollment System - an OpsConnect application managed by DMDC and used to process enrollment transactions (address updates, new enrollment, PCM change, transfer, etc.)

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18
Q

DP

A

Designated Provider (also referred to as USFHP) - a facility with a TRICARE Prime contract (John Hopkins, St. Martin’s Point, Christus Health, etc.)

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19
Q

FIN

A

Foreign Identification Number - a foreign military member on assignment in the U.S

• Sponsor ID will begin with 9.

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20
Q

HCDP

A

Health Care Delivery Plan - a 3 digit number that identifies a TRICARE coverage plan.

  • 310 - TRICARE Prime Active Duty Sponsors
  • 311 - TRICARE Prime Active Duty Family Members
  • 303 - TRICARE Prime Select Active Duty Family Members
  • 312 - TRICARE Prime Remote Active Duty Sponsors
  • 313 - TRICARE Prime Remote Active Duty Family Members
  • 314 - TRICARE Prime TAMP Sponsors and Family Members
  • 304 - TRICARE Select TAMP Sponsors and Family Members
  • 315 - TRICARE Prime Retired Sponsors and Family Members
  • 305 - TRICARE Select Retired Sponsors and Family Members
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21
Q

KP**

A

Kaiser Permanente - a TRICARE Prime option that allows a beneficiary to receive primary and specialty care through KP providers, facilities, and pharmacies.

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22
Q

LOA

A

Letter of Acceptance - an acceptance letter from a civilian provider’s office when a beneficiary would request a provider with patient restrictions (ex. not accepting new patients, existing patients only, etc.)

  • Must have provider’s letterhead.
  • Must include the beneficiary’s name, DOB, and DBN.
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23
Q

LOE

A

Loss of Eligibility - a disenrollment reason updates by the DEERS office.

• Associates cannot manually disenroll an ADFM, TAMP or NAD beneficiary for LOE.

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24
Q

MCSC

A

Managed Care Support Contractors - Humana Military, Health Net Federal Services and DMDC are contractors awarded a TRICARE contract for the T2017 contract effective 01/01/2018.

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25
Q

MTF

A

Military Treatment Facility - a clinic or hospital located on base or in the community.

• The MTF can mandate enrollment to their facility as long as there is capacity.

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26
Q

NAD

A

Non Active Duty - sponsor’s status when they retire.

• Family members will follow the status.

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27
Q

NADD

A

Non Active Duty Dependent - family members of a retired sponsor.

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28
Q

NDAA

A

National Defense Authorization Act - federal laws passed by Congress for the Department of Defense (DoD).

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29
Q

OCONUS

A

Outside the Continental United States - overseas.

  • International SOS (ISOS) is the name of the contractor responsible for TRICARE Overseas sponsors and family members.
  • TRICARE Europe, TRICARE Latin America, etc.
30
Q

PCM

A

Primary Care Manager - a TRICARE Prime civilian provider (physician, nurse practitioner, physician assistant, etc.)

31
Q

PCMBN

A

Primary Care Manager by Name - a TRICARE Prime provider located at an MTF.

32
Q

PHS

A

Public Health Service - a branch of service responsible for the nation’s health and safety (ex. Center of Disease Control, etc.)

33
Q

PLOC/POC

A

Place of Care - a clinic within an MTF.

34
Q

POC

A

Point of Care - designated associate(s) responsible for a particular process.

35
Q

PRP

A

Personnel Reliability Program (Nuclear/Biological/Chemical Weapon) - an ADSM on special duty assignment responsible for working with nuclear, biological and chemical weapons.

• CEBO will assign an ADSM on special duty assignment to a special duty clinic (ex. Flight Medicine, Aerospace Medicine, etc.) at an MTF.

36
Q

PSA

A

Prime Service Area - approximately a 40 mile radius surrounding an MTF.

  • PSA does not apply to an ADSM or TRICARE Prime Remote.
  • Applies to an ADFM, TAMP and NAD enrolled in TRICARE Prime.
37
Q

SSN

A

Social Security Number - used to access a sponsor’s account.

38
Q

TAMP

A

Transitional Assistance Management Program - a sponsor’s status for up to 180 days when he/she separates from Active Duty and have not retired yet.

  • Family members follow the sponsor’s status.
  • The sponsor shares a policy with the family members.
  • Sponsor and family can enroll in TRICARE Prime or TRICARE select.
  • They are auto enrolled in TRICARE Select.
39
Q

TDY

A

Temporary Duty - temporary duty assignment for an ADSM.

40
Q

TIN

A

Temporary Identification Number - temporary ID for beneficiaries that do not have a SSN (may see if for newborn’s, etc.).

41
Q

TIP

A

TRICARE Information Portal - a portal designed and managed by Humana Military that allows an associate to access account information more efficiently.

  • TIP Beneficiary 360 - provides a full 360 view of a sponsor’s account information.
  • TIP Contact Handling - allows associates to view the sponsor’s information as well as the family members associated with the sponsor (The Phone documentation tool).
42
Q

T-NEX

A

TRICARE The Next Generation of Contracts - implemented effective 08/01/04 for regions 2/5 and regions 3/4.

43
Q

T-3

A

TRICARE The 3rd Generation of Contracts - implemented effective 04/01//12 for TRICARE South (Humana Military).

44
Q

TPR

A

TRICARE Prime Remote - a TRICARE program for an ADSM that resides and works more than 50 miles from an MTF.

  • ADSM must meet the above criteria and he/she will be assigned to a civilian PCM.
  • ADFMs may qualify for the program, but their criteria is a little different.
45
Q

TRR**

A

TRICARE Retired Reserve - a sponsor driven TRICARE program for a Reservist or National Guard member that no longer qualifies for TRS coverage.

  • He/she can purchase the coverage
  • Family members follow the status and cannot enroll in the plan without the sponsor unless the sponsor is deceased.
46
Q

TRS**

A

TRICARE Reserve Select - a sponsor driven TRICARE program for a Reservist or National Guard member not on AD or TAMP status.

  • He/she can purchase the coverage.
  • Family members follow the status and cannot enroll in the plan without the sponsor unless the sponsor is deceased.
47
Q

TYA**

A

TRICARE Young Adult - a TRICARE program for children that age out as a dependent under the sponsor (age 21 or up to age 23 for a full time college student)

• They may be eligible to purchase the coverage up to age 26.

48
Q

UIC

A

Unit Identification Code - a code used to determine a PCM assignment at the MTF for an ADSM.

• ADSM may find it on their orders.

49
Q

USFHP (aka DP)

A

Uniform Services Family Health Plan - a facility with a TRICARE. Prime contract (John Hopkins, St. Martin’s Point, Christus Health, etc.)

50
Q

WTU

A

Warrior Transition Unit - ADSM wounded or injured wjhile on Active Duty status and nursed back to health for activation purposes.

• Some MTFs have a WTU clinic for the ADSM.

51
Q

AHC

A

Army Health Clinic

52
Q

BAMC

A

Brooke Army Medical Center

53
Q

AMC

A

Army Medical Center

54
Q

CBMH

A

Community Based Medical Home

55
Q

CBPCC

A

Community Based Primary Care Center

56
Q

CTMC

A

Combined Troop Medical Clinic

57
Q

eMSM

A

Enhanced Multi-Service Market

58
Q

FPC

A

Family Practice Clinic

59
Q

MCAS

A

Marine Corp Air Station

60
Q

MCRD

A

Marine Corp Recruit Depot

61
Q

NAS

A

Naval Air Station

62
Q

NATTC

A

Naval Air Technical Training Clinic

63
Q

NBHC

A

Naval Branch Health Clinic

64
Q

NH

A

Naval Hospital

65
Q

NHC

A

Naval Health Clinic

66
Q

NSA

A

Naval Support Activity

67
Q

NTC

A

National Training Center

68
Q

NTIC

A

Naval Technical Training Center

69
Q

OHC

A

Occupational Health Clinic

70
Q

SCMH

A

Soldier Centered Medical Home

71
Q

TMC

A

Troop Medical Clinic

HGB (1 decks)

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