National Association of Insurance Commissioners (NAIC)
Organization of state insurance regulators.
National Committee on Quality Assurance (NCQA)
Independent organization that oversees managed care plans.
National Health Services Corps (NHSC)
A program providing scholarships and tuition assistance to health professionals operating in community health centers.
National Institutes of Health (NIH)
Federal agency responsible for biomedical and health-related research.
National Plan and Provider Enumeration System (NPPES)
The administrative system for supporting a national plan and provider registry. A comprehensive uniform system for identifying and uniquely enumerating health care providers and plans at the national level.
National Prevention Council
Created through the Affordable Care Act, a group chaired by the Surgeon General and comprised of 20 federal departments, agencies, and offices to ensure the health, well-being and resilience of the American people. Their mission is also known as the National Prevention Strategy.
A third-party agent assigned to conduct public education about the availability of qualified health plans and help eligible consumers with the exchange enrollment process.
A collection of heath care providers affiliated with an insurer. Care received from these providers is called in-network care, and care received from a non-network provider is called out-of-network care.
Non-participating Health Care Professional
Health care provider not affiliated with a patient's insurance plan.
A provider who doesn’t have a contract with your health insurer or plan to provide services to you. A provider need not participate in all preferred provider programs offered by any insurer.