Glossary N
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- NASCO
- The National Accounts Service Company connects several Blue Cross and Blue Shield plans across the country through a common automated system to administer health benefit programs.
- national account
- A group whose subscribers live in more than one Blue Cross or Blue Shield plan service area.
- NCQA
- A nationally recognized independent organization, the National Committee for Quality Assurance evaluates managed care plan performance using objective, scientific measures, such as HEDIS, the Health Plan Employer Data and Information Set.
- network
- The Blues preferred term for a group of physicians, hospitals and other health care providers under contract to offer care at negotiated rates to its managed care members.
- nongroup
- Insurance purchased by the individual subscriber rather than a group. See also other-than-group coverage.
- nonparticipating providers
- Providers who have not signed a participation agreement with the Blues to accept our approved charge as payment in full.
- nonpayment code
- Code for a message explaining why payment for a medical service was reduced or denied.
- nurse care managers
- Licensed registered nurses who have received specific training and education in disease management and help patients receive the most efficient and effective care while coordinating their benefits.
page modified 04/23/2008