UB-04 • Resources

Acronyms | New Terminology

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Acronyms

BIC - Benefits Identification Card

DHCS - Department of Health Care Services (formerly CDHS)

CMC - Computer Media Claims

CPT-4 - Current Procedural Terminology, Fourth Edition

HCPCS - Healthcare Common Procedure Coding System

HIPAA - Health Insurance Portability and Accountability Act

ICD-9-CM - International Classification of Diseases-9th Revision, Clinical Modification

NPI - National Provider Identifier

NUBC - National Uniform Billing Committee

OCR - Optical Character Recognition

OHC - Other Health Coverage

POS - Point of Service

SOC - Share of Cost (Spend Down Amount)

TAR - Treatment Authorization Request

UB - Universal Billing

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New Terminology

Atypical Provider - In accordance with the NPI final rule, some providers are not required to register an NPI with Medi-Cal. According to DHCS' interpretation of the final rule, as it relates to "atypical" providers, the following Medi-Cal provider types are not required to register an NPI:

• Blood Banks
• Christian Science Practitioners
• Multipurpose Senior Services Programs

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