Breg Terms

Question 1

BCS (Breg Claims System)

Answer 1

Breg’s software for managing billing and inventory, linking ERP (Oracle) and billing software (Brightree) to automate information flow.

Question 2

BMW (Breg Midwest Warehouse)

Answer 2

Breg’s distribution center located in Indiana.

Question 3

BregBill

Answer 3

A program where Breg bills the patient’s insurance directly, shipping the product from a Breg distribution center.

Question 4

BregBill Order (BBO)

Answer 4

A billing order for custom braces or patient-specific products shipped from a Breg distribution center.

Question 5

BregBill Plus (BBP)

Answer 5

A program placing Breg-owned inventory at medical offices for easy DME services, billing the patient’s insurance directly.

Question 6

Breg Billing Claim Form

Answer 6

A form for submitting an insurance claim after a product is dispensed, available through Breg Customer Care.

Question 7

BBLP (Breg Billing List Price)

Answer 7

The amount billed to insurance, based on Medicare rates and HCPCS codes.

Question 8

Breg Field Inventory

Answer 8

Breg-owned inventory located at medical practices for BBP use.

Question 9

BregStore

Answer 9

Breg’s online platform for purchasing, managing, and tracking products.

Question 10

Brightree

Answer 10

Breg India (Cognizant)

Question 11

CJR (Comprehensive Care for Joint Replacement)

Answer 11

A healthcare initiative focused on joint replacement care.

Question 12

Consumption Order

Answer 12

When a BBP product is dispensed and the claim is processed, the inventory is deducted and replenished if stock is low.

Question 13

Contracted List Price (CLP)

Answer 13

The agreed price paid by insurance providers, determining revenue expectations.

Question 14

Date of Service

Answer 14

The day a product is dispensed, marking the start of the insurance claim process.

Question 15

DC (Distribution Center)

Answer 15

Refers to Breg’s warehouses in Indianapolis (BMW) or Mexicali.

Question 16

DMEPOS

Answer 16

Durable Medical Equipment, Prosthetics, Orthotics, and Supplies.

Question 17

EOB (Explanation of Benefits)

Answer 17

A statement from insurance detailing covered services and patient responsibility.

Question 18

HCPCS

Answer 18

(Healthcare Common Procedure Coding System) A coding system for billing medical products, assigned by PDAC or the manufacturer.

Question 19

HIPAA

Answer 19

(Health Insurance Portability and Accountability Act) A law protecting health insurance and medical information security.

Question 20

Inventory Request

Answer 20

A manual order to replenish stock at a BBP location.

Question 21

Inventory Transfer

Answer 21

Moving inventory between BBP locations or from a field rep’s trunk stock.

Question 22

Letter of Medical Necessity (LMN)

Answer 22

Documentation required for certain products, proving medical necessity.

Question 23

Master Queue

Answer 23

A BCS tab for viewing all claims, with access varying by user.

Question 24

Medicare Part A

Answer 24

Covers hospital stays and skilled nursing care.

Question 25

Medicare Part B

Answer 25

Covers DMEPOS, ambulance services, and physician visits.

Question 26

PAR Levels

Answer 26

Minimum product levels at BBP accounts, triggering auto-replenishment when stock is low.

Question 27

Patient Pay Price

Answer 27

A discounted rate for patients paying out-of-pocket instead of using insurance.

Question 28

Patient Portion

Answer 28

The amount owed by the patient after insurance processes the claim.

Question 29

Pending Claim

Answer 29

A submitted claim awaiting further information before billing.

Question 30

POC (Point of Contact)

Answer 30

The main contact person for inquiries.

Question 31

Pre-authorization

Answer 31

Insurance approval required before a service is provided.

Question 32

Product Barcode Sticker

Answer 32

A barcode from the product box attached to the Breg Billing Claim Form.

Question 33

Return Inventory (RI)

Answer 33

Returning excess inventory from a BBP location to a DC.

Question 34

RMA (Return Materials Authorization)

Answer 34

Authorization for returning materials.

Question 35

SAN (San Diego Warehouse)

Answer 35

Breg’s distribution center in California.

Question 36

SalesOps

Answer 36

Breg’s Sales Operations team.

Question 37

SME (Subject Matter Expert)

Answer 37

A specialist with deep knowledge in a specific area.

Question 38

Sub-Contracting (Off-Contract Coverage)

Answer 38

Using a third party to bill for a product not covered under a Breg contract.

Question 39

Sub-inventory Location

Answer 39

A number indicating a BBP location in Breg’s system, required on the Breg Billing Form.

Question 40

Sunshine Act

Answer 40

A law requiring medical manufacturers to report payments to physicians or hospitals.

Question 41

Trunk Stock

Answer 41

Field inventory managed by a Breg rep, with auto-replenishment for on-demand use.