Healthcare Terms
A
AdjudicationThe process by which an insurance company reviews a pharmacy claim and determines payment amount. ARCOS
Automation of Reports and Consolidated Orders System - DEA system for tracking controlled substance distribution.
C
C-II, C-III, C-IV, C-VDEA schedule classifications for controlled substances. C-II (Schedule II) has the highest potential for abuse among prescribed medications. Chief Complaint
The primary reason a patient seeks medical care.
D
DEADrug Enforcement Administration - Federal agency that regulates controlled substances. Dispensing
The act of preparing and providing medication to a patient after verification. Drug Interaction
When two or more medications affect each other’s effectiveness or increase side effects.
E
EHRElectronic Health Record - Digital version of a patient’s medical history. EMR
Electronic Medical Record - Digital version of a patient’s chart maintained by a single provider or facility. EPCS
Electronic Prescribing of Controlled Substances - Secure electronic transmission of controlled substance prescriptions. (Coming soon to AllCare)
F
First Databank (FDB)Drug knowledge database used for medication information, interactions, and clinical decision support. Formulary
List of medications covered by an insurance plan.
H
HIPAAHealth Insurance Portability and Accountability Act - Federal law protecting patient health information privacy. HL7
Health Level 7 - Standards for electronic health information exchange.
M
MEPAMedication Unique Patient ID - AllCare’s grouping concept for continuous medication treatments.
N
NCPDPNational Council for Prescription Drug Programs - Organization that develops pharmacy technology standards. NCPDP SCRIPT
Standard for electronic prescribing communication between prescribers and pharmacies. NDC
National Drug Code - Unique identifier for medications. NPI
National Provider Identifier - Unique 10-digit identification number for healthcare providers.
P
PA (Prior Authorization)Insurance requirement for approval before prescribing certain medications. PHI
Protected Health Information - Any health information that can identify an individual. PMP
Prescription Monitoring Program - State database tracking controlled substance prescriptions. Prescriber
Healthcare provider authorized to write prescriptions (physician, NP, PA, etc.).
R
RxPrescription - abbreviation from Latin “recipe” meaning “take”.
S
SOAP NoteStructured clinical note format: Subjective, Objective, Assessment, Plan. Surescripts
National e-prescription network connecting prescribers and pharmacies.
AllCare Platform Terms
A
AI Agent ObservabilityMonitoring and tracing capabilities for AI agents using LangSmith, providing visibility into AI decision-making, performance metrics, and error tracking.
C
Cancellation WorkflowAutomated process triggered when a visit is canceled, with specific actions based on the cancellation reason (OOF, Deceased, Discharged, Declined Services, No Show). Contract Status
Status of facility’s business relationship with AllCare:
- NotContracted - Not yet contracted
- Pending - Contract in negotiation
- Active - Active contract
- Churned - Contract ended
Customer Relationship Management workflow for managing facilities and patient enrollment.
E
Enrollment StatusPatient’s status in the enrollment process:
- Pending - Awaiting provider assignment
- Active - Actively receiving services
- Inactive - Temporarily not receiving services
- Discharged - No longer enrolled
F
FacilityHealthcare facility (nursing home, assisted living, etc.) using AllCare services.
P
Patient TrackerDashboard showing patients moving through enrollment and care workflows. Pending Pool
Queue of patients awaiting provider assignment or other actions. Provider Assignment
Process of matching patients with appropriate medical providers.
R
Residential Care RolesSpecialized user roles (Dietician, Maintenance, Housekeeper, Activity Coordinator) available for residential care facility types, excluding home-based and clinical settings.
S
Service TypeCategories of healthcare services AllCare provides (clinic, pharmacy, specialty services).
T
Task ModuleAllCare feature for creating and tracking billable services and care tasks.
V
Visit StatusCurrent state of a patient visit in the unified status system:
- Pending - Visit scheduled but not confirmed
- Confirmed - Visit confirmed and ready
- In Progress - Provider conducting visit
- Completed - Visit finished successfully
- Canceled - Visit canceled with reason
Type of patient encounter (initial visit, follow-up, urgent care, etc.).
Regulatory & Compliance Terms
A
Audit TrailComplete record of all system activities for compliance and security.
C
Controlled SubstanceMedication regulated by DEA due to potential for abuse or dependence.
D
DEA RegistrationAuthorization from DEA to prescribe or dispense controlled substances. DirectTrust
Organization providing trust framework for secure healthcare information exchange.
E
EHNACElectronic Healthcare Network Accreditation Commission - Accredits healthcare networks for compliance. EPCS Certification
Certification that a system meets requirements for electronic controlled substance prescribing.
T
Two-Factor Authentication (2FA)Security requiring two forms of verification (e.g., password + biometric).
Technical Terms
A
APIApplication Programming Interface - allows systems to communicate with each other.
G
GraphQLQuery language for APIs used in AllCare’s patient and pharmacy services.
L
LangSmithAI observability platform used by AllCare to monitor and trace AI agent interactions, providing visibility into agent decision-making and performance.
M
MicroservicesAllCare’s architecture where different functions run as independent services.
R
REST APIRepresentational State Transfer - architectural style for web services.
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