Attachment VIII - Definitions and Acronyms.xlsx

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G009--VA Dental Insurance Program (VADIP) Reauthorization (VA-22-00011137)
Solicitation number
36C79122R0006
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Sheet1

Definitions and Acronyms
ACOR: Alternate Contracting Officer's Representative
ADA: American Dental Association
Applicant: A person who begins the enrollment process with a VADIP Contractor
ASA: Average Speed to Answer-used as a Customer Service phone metric
Beneficiary: A Veteran or CHAMPVA member who has enrolled in VADIP and is a recipient of an insurance policy
Benefit: A contractual payout agreed to by the insurance carrier for the policy holder
CBO: Chief Business Office of the Veterans Health Administration
CDT: Current Dental Terminology is part of the coding system of dental procedures by the ADA
CFR: Code of Federal Regulations
CHAMPVA: Civilian Health and Medical Program of the Veterans Administration
CONTRACTING OFFICER: A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.
CONTRACTING OFFICER'S REPRESENTATIVE (COR): An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.
CONTRACTOR: A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.
Contractor: Insurance carrier awarded a VADIP contract by the VA
CONUS: Continental United States (excludes Alaska and Hawaii)
COR: Contracting Officer’s Representative is a person who takes necessary action within delegated authority to insure the Contractor performs in accordance to the specifications in the contract
COTR: Contracting Officer's Technical Representative
COTS: Commercial-Off-the-Shelf
Customer Service: the provision of service to customers before, during, and after a purchase
DALC: VA’s Denver Acquisition and Logistics Center in Golden, CO
DEFECTIVE SERVICE: A service output that does not meet the standard of performance associated with the Performance Work Statement.
DEOB: Dental Explanation of Benefits that show insurance payment, contractual adjustments and copays and/or deductibles
EDI: Electronic Data Interchange is when autonomous computer systems can exchange computer readable transaction data
Endodontic: part of dentistry that deals with tissue inside the teeth and an example is a root canal
Enrollees: an individual who has signed to receive health/dental care under a particular type of plan. Also called beneficiary, member, or participant
Enrollment: when an enrollee agrees to receive health/dental care under a particular type of plan.
FAR: Federal Acquisition Regulations
GAO: Government Accountability Office
HEC: Health Eligibility Center of the VA
HIPPA: Health Insurance Portability and Accountability Act of 1996
KO: Contracting Officer
Lock in and Lock out periods: a period of time where a person is contractually obligated or not obligated referring to enrollment periods of time
Networks: Provider offices that contract with insurance companies to provide service to insured people. These providers accept the fee schedule and guidelines for insurance managed care
OCI: Organizational Conflict of Interest
OCONUS: Outside Continental United States (includes Alaska and Hawaii)
ODC: Other Direct Costs
Periodontal: disease of the periodontium characterized by inflammation of the gums, resorption of the alveolar bone, and/or degeneration of the periodontal membrane
PIPO: Phase In/Phase Out
POC: Point of Contact
Premiums: payment for insurance coverage in a lump sum or installments
Prophylaxis: refers to preventing the development of disease such as dental preventive care measures
Providers: authorized medical or dental offices or teams that provide service
PRS: Performance Requirements Summary
PWS: Performance Work Statement
QA: Quality Assurance
QAP: Quality Assurance Program
QASP: Quality Assurance Surveillance Plan
QC: Quality Control
QCP: Quality Control Program
QUALITY ASSURANCE: The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.
QUALITY CONTROL: All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.
Rural, Highly: any non-urban area defined as having a population density of 7 or less per square mile
Rural: any non-urban area defined as having a population density of 8 to 999 per square mile
SUBCONTRACTOR: One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.
TE: Technical Exhibit
Urban Area: Census Bureau-defined urbanized area, which is any block or block group having a population density of at least 1000 people per square mile
VA: Veteran Affairs
VADIP: VA Dental Insurance Program
VAMC: VA Medical Center
VHA: Veteran Health Administration and is the central office for administration of VA Medical Centers throughout the United States
VISN: Veterans Integrated Service Network. The regional oversight for the VA Medical Centers

Sheet2

ACORADA:
ADA:Applicant:
Applicant:ASA:
ASA:Beneficiary:
Beneficiary:Benefit:
Benefit:CBO:
CBO:CDT:
CDT:CHAMPVA:
CFRContractor:
CHAMPVA:COR:
Contractor:Customer Service:
CONUSDALC:
CORDEOB:
COR:EDI:
COTREndodontic:
COTSEnrollees:
Customer Service:Enrollment:
DALC:FAR:
DEOB:HEC:
EDI:HIPPA:
Endodontic:GAO:
Enrollees:Lock in and Lock out periods:
Enrollment:Networks:
FARPeriodontal:
FAR:Premiums:
GAO:Prophylaxis:
HEC:Providers:
HIPAAPWS:
HIPPA:QASP:
KORural:
Lock in and Lock out periods:Rural, Highly:
Networks:Urban Area:
OCIVA:
OCONUSVADIP:
ODCVAMC:
Periodontal:VHA:
PIPOVISN:
POC
Premiums:
Prophylaxis:
Providers:
PRS
PWS
PWS:
QA
QAP
QASP
QASP:
QC
QCP
Rural, Highly:
Rural:
TE
Urban Area:
VA:
VADIP:
VAMC:
VHA:
VISN:

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