Internal acronyms and terms you'll hear daily.
Operational
| Term | Meaning | Context |
|---|---|---|
| OPS | Operations Submission | Insurance verification submission to system |
| BC Breakdown | BrandaCare Breakdown | Structured coverage summary by category |
| NP BC Breakdown | New Patient BC Breakdown | BC Breakdown required for new patients |
| Scorecard | Scorecard | Team performance metric |
| Scorecard_Final | Final consolidated scorecard | Version converted to JSON via Google Apps Script |
| Master Log | Master Log | Primary temporal comparison record |
| Bridge Management | Bridge Management (Window Time) | Covers and processes verification requests |
| Action Plan | Plan de Acción | Strategic data verification document |
Technical / Systems
| Term | Meaning |
|---|---|
| OD | Open Dental (clinical software) |
| Stedi | Clearinghouse for X12 (claims, eligibility) |
| Sensei | BrandaCare internal platform (uploads, files) |
| Availity | Multi-carrier insurance portal |
| DentalHub | Insurance verification portal |
| Coverage.com | Coverage search tool (use from "H" onwards) |
Formats / Codes
| Term | Meaning |
|---|---|
| PCN | Patient Control Number (max 20 chars) |
| NPI | National Provider Identifier (10 digits) |
| Tax ID | Provider Tax Identification |
| DOS | Date of Service |
| DOB | Date of Birth |
| UCR | Usual, Customary & Reasonable (fee schedule) |
| FeeSchedNum | Fee Schedule Number in OD |
| ProvNum | Provider Number in OD |
Common clinical
| Term | Meaning |
|---|---|
| COMPEX | Comprehensive Exam (D0150) |
| FMX | Full Mouth X-ray (D0210) |
| BWX | Bitewings (D0274) |
| PA | Periapical X-ray |
| Pano | Panoramic X-ray (D0330) |
| SRP | Scaling and Root Planing (D4341/D4342) |
| TMJ | Temporomandibular Joint |
| RCT | Root Canal Therapy |
Insurance
| Term | Meaning |
|---|---|
| PPO | Preferred Provider Organization |
| HMO | Health Maintenance Organization |
| DPP | Dental Discount Plan (not insurance) |
| OON | Out-of-Network |
| EOB | Explanation of Benefits |
| Plan Variant | Plan with atypical rules |