Common Medicare Acronyms
AGNS – AT&T Global Network System
ANSI X12 270/271 – Entitlement Query transaction set.
CFR – Code of Federal Regulations
CMS – Center for Medicaid & Medicare Services
COBC – Coordination of Benefits Contractor
COBCSW – Coordination of Benefits Contractor Secured Website
DCN – Document Control Number generated by RRE
DOB – Date of Birth
DOI – Date of Incident
EDI – Electronic Data Interchange
EIN – Employer’s Identification Number, See TIN
FEIN – Federal Employer’s Identification Number, See TIN
GHP – Group Health Plans
HEW – HIPAA Eligibility Wrapper Software
HIPAA – Health Insurance Portability & Accountability Act
HICN – Health Insurance Card Number
HTTPS: Hypertext Transfer Protocol over Secure Socket Layer
HMO – Health Maintenance Organization
LOB – Line of Business
MA – Medicare Advantage
MIR – Mandatory Insurance Reporting
MRC – Medicare Reimbursement Claim
MSPS – Medicare Secondary Payer Statute – 42 U.S.C. 1395y
MMSEA – Medicare & Medicaid SCHIP Extension Act
MSPRC – Medicare Secondary Payer Recovery Contractor
NDM – Network Data Mover
NGHC – Non-Group Health Claims
NGCD – Non-Group Claim Detail
NGCE – Non Group Claim Auxiliary File
NGCT – Non Group Claim Trailer File
NGHP – Non-Group Health Plans
NGHPCLM – Non-Group Health Plan Claim
ORM – Ongoing Responsibility for Medical
PPO – Preferred Provider Organization
PRA – Paper Reduction Act
RRE – Responsible Reporting Entity
RRE ID – Responsible Reporting Entity Identification Number issued by CMS/COBC
SCHIP – State Children’s Health Insurance Program
SFTP – Secure File Transfer Protocol
SECTION 111 – Code section # of MMSEA
SSDI – Social Security Disability Income
SSN – Social Security Number
TIN – Tax Identification Number, a.k.a Employer Identification Number, could be SSN for certain smaller entities. (It’s the number the entity uses to file its taxes)
TPA – Third Party Administrator
TPOC –Total Payment Obligation to Claimant
U.S.C. – United States Code
VAN – Virtual Area Network
WC – Workers’ Compensation
