Common Terms & Acronyms

Common Terms and Acronyms

Referral

Referrals are for services that are not considered primary care. An example of a referral is when a PCM sends a patient to see a cardiologist to evaluate a possible heart problem. For more information on referrals, visit our Prior Authorizations and Referrals page.

Remittance Advice

A statement sent to providers showing the outcome of claims processing.

Reserve Component (RC)

Includes the Army National Guard, the Army Reserve, the Naval Reserve, the Marine Corps Reserve, the Air National Guard, the Air Force Reserve, and the U.S. Coast Guard Reserve.

Retired Service Member

A former service member of one of the uniformed services who has retired.

Retrospective Review

Review performed after services have been provided.

Right of First Refusal (ROFR)

A review by the military treatment facility (MTF) of civilian authorizations and referrals received by Health Net Federal Services, LLC to determine if the MTF is able to provide the services.