Explore: Preferred Provider Organizations [PPO], Managed Care
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A health care organization composed of physicians, hospitals, and other providers. It provides services at a reduced fee. With a PPO, care is paid for as it is received. An HMO is paid in advance as a scheduled fee....
This page was last updated on August 25th, 2008
This page was last updated on August 25th, 2008
Preferred Provider Organizations [PPO] (from Managed Care)
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Xavier Benefits Group
[USA, California] Provides PPO benefits via its XHN subsidiary. Site offers newsletter, physician search, and description of services.
Pennsylvania's Preferred Health Networks (PPHN)
[USA, Pennsylvania] Statewide affiliation of PPOs comprised of independent regional provider networks which have health insurance plans. Includes list of partners.
The Covenant Companies
[USA] A nationwide network offering cost containment for the sports and entertainment industries. [requires Flash plugin]
Consumer Health Network (CHN)
[USA] Services New Jersey, Connecticut and parts of New York. Site includes a provider search and hospital directory.
Health Choice of Northwest Missouri
[USA, Missouri] PPO serves northwest Missouri and northeast Kansas. Provides general health plans and is a certified managed care organization for workers' compensation.
Medical Claims Management, Inc. (MCM)
[USA] In Alabama and nearby states. Offers managed care services, specializing in workers' compensation. Services include PPO network, case management, and review services.
CCN
[USA] Offers national provider networks and clinical management services in group health, auto injury management, and workers' compensation. A subsidiary of First Health Group Corporation.
Elkhart Medical Organization (EMO)
[USA, Indiana+] Functions as a PPO healthcare network. It includes doctors, hospitals, and other healthcare professionals, serving most of Indiana and parts of Michigan and Ohio.
Indiana Health Network (IHN)
[USA, Indiana] Offers a PPO network to health and workers' compensation plans offered through insurance companies, third party administrators (TPA's) and self funded employers.
ppoNext, Inc.
[USA] A national independent PPO with a large network of providers and healthcare facilities. Contracts its network to insurance companies, health plans, and self-insured employers.
1st Medical Network, LLC
[USA, Georgia] Provider-owned PPO serving the entire state. Site offers sections for providers, members, and clients, as well as a provider-search facility.
Managed Cost Consortium, LLC
[USA] A healthcare cost-containment organization allied with PPO plans in many parts of the United States. Site describes the company, its alliances and services, and offers a FAQ and provider look-up.
Blue Ridge Health Network
[USA, Pennsylvania] Full service provider operating in several counties. Also offers a medical discount plan for many services not covered by insurance.
Prime Health Services (PHS)
[USA] A regional workers' compensation and group health PPO network operating in the southeastern and central United States. Serves insurers, third party administrators, and employers.
Nationwide Management Systems
[USA] A nationwide all-payer PPO network providing value added management and operational services for medical network administrators, third party administrators, healthcare providers, and service facilities.
HealthCare Direct, LLC
[USA, Wisconsin] A PPO headquartered in Oconomowoc. Includes provider directory. [site does not function in all modern browsers]
Flora Midwest
[USA, Ohio] Concentrates on providing a PPO network and related services to third party administrators (TPAs) and insurance carriers. Site includes a list of partners and a provider search. A subsidiary of PPOM.
HealthSCOPE Benefits, Inc.
[USA] Offers network consulting and development as well as benefits administration with exclusive focus on managing healthcare costs for client companies through customer service, managed care, and informatics services.
Provider Select, Inc.
[USA] Offers several services to insurers, including preferred provider network, workers' compensation network, large claim negotiations, utilization review services, and case management.
UFCW National Health and Welfare Fund
[USA] Services only United Food and Commercial Workers Union members, their families, and retirees. The self insured fund was formed to work closely with the Union through its Negotiated Benefits Department.
United Healthcare India (Private) Limited
[India] Covers over 100,000 employees, with offices in many cities. Formerly Sedgwick Parekh Health Management (Private) Limited.
Asuris Northwest Health
[USA, Washington] Offers group medical and dental insurance plans. Site describes products and services, and lists affiliated providers. A Regence affiliate.
The Health Care Payers Coalition (HCPC)
[USA, New Jersey] A partnership of business and labor benefit plans dedicated to promoting quality, accountability and cost containment in the health care delivery system. Offers a PPO program for self-funded programs.
One Call Medical, Inc. (OCM)
[USA] An outsourcing organization providing scheduling services through its national network of credentialed providers. Customers include workers' compensation insurers, third party administrators, and self-insured employers.
EncoreConnect
[USA, Indiana+] Information portal for The Encore (PPO), Parkview SignatureCare (PPO), and EnCircle (EPO) healthcare networks serving Indiana and parts of Illinois, Ohio, Kentucky and Michigan.
Fortified Provider Network
[USA] A national network which contracts with insurers and third party administrators. Site describes the company and offers provider look-up, FAQs, and employment opportunities.
[USA, California] Provides PPO benefits via its XHN subsidiary. Site offers newsletter, physician search, and description of services.
[USA, Pennsylvania] Statewide affiliation of PPOs comprised of independent regional provider networks which have health insurance plans. Includes list of partners.
[USA] A nationwide network offering cost containment for the sports and entertainment industries. [requires Flash plugin]
[USA] Services New Jersey, Connecticut and parts of New York. Site includes a provider search and hospital directory.
[USA, Missouri] PPO serves northwest Missouri and northeast Kansas. Provides general health plans and is a certified managed care organization for workers' compensation.
[USA] In Alabama and nearby states. Offers managed care services, specializing in workers' compensation. Services include PPO network, case management, and review services.
[USA] Offers national provider networks and clinical management services in group health, auto injury management, and workers' compensation. A subsidiary of First Health Group Corporation.
[USA, Indiana+] Functions as a PPO healthcare network. It includes doctors, hospitals, and other healthcare professionals, serving most of Indiana and parts of Michigan and Ohio.
[USA, Indiana] Offers a PPO network to health and workers' compensation plans offered through insurance companies, third party administrators (TPA's) and self funded employers.
[USA] A national independent PPO with a large network of providers and healthcare facilities. Contracts its network to insurance companies, health plans, and self-insured employers.
[USA, Georgia] Provider-owned PPO serving the entire state. Site offers sections for providers, members, and clients, as well as a provider-search facility.
[USA] A healthcare cost-containment organization allied with PPO plans in many parts of the United States. Site describes the company, its alliances and services, and offers a FAQ and provider look-up.
[USA, Pennsylvania] Full service provider operating in several counties. Also offers a medical discount plan for many services not covered by insurance.
[USA] A regional workers' compensation and group health PPO network operating in the southeastern and central United States. Serves insurers, third party administrators, and employers.
[USA] A nationwide all-payer PPO network providing value added management and operational services for medical network administrators, third party administrators, healthcare providers, and service facilities.
[USA, Wisconsin] A PPO headquartered in Oconomowoc. Includes provider directory. [site does not function in all modern browsers]
[USA, Ohio] Concentrates on providing a PPO network and related services to third party administrators (TPAs) and insurance carriers. Site includes a list of partners and a provider search. A subsidiary of PPOM.
[USA] Offers network consulting and development as well as benefits administration with exclusive focus on managing healthcare costs for client companies through customer service, managed care, and informatics services.
[USA] Offers several services to insurers, including preferred provider network, workers' compensation network, large claim negotiations, utilization review services, and case management.
[USA] Services only United Food and Commercial Workers Union members, their families, and retirees. The self insured fund was formed to work closely with the Union through its Negotiated Benefits Department.
[India] Covers over 100,000 employees, with offices in many cities. Formerly Sedgwick Parekh Health Management (Private) Limited.
[USA, Washington] Offers group medical and dental insurance plans. Site describes products and services, and lists affiliated providers. A Regence affiliate.
[USA, New Jersey] A partnership of business and labor benefit plans dedicated to promoting quality, accountability and cost containment in the health care delivery system. Offers a PPO program for self-funded programs.
[USA] An outsourcing organization providing scheduling services through its national network of credentialed providers. Customers include workers' compensation insurers, third party administrators, and self-insured employers.
[USA, Indiana+] Information portal for The Encore (PPO), Parkview SignatureCare (PPO), and EnCircle (EPO) healthcare networks serving Indiana and parts of Illinois, Ohio, Kentucky and Michigan.
[USA] A national network which contracts with insurers and third party administrators. Site describes the company and offers provider look-up, FAQs, and employment opportunities.
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