PPO Oklahoma offers a comprehensive statewide network. Our network includes a broad base of primary care physicians and a select group of specialists. We examine practice patterns and utilization trends. Our negotiated rates with providers support cost-effective care with rates that go beyond simple discounts. PPO Oklahoma contracts with the most requested hospitals in the major metropolitan areas as well as the majority of non-metropolitan hospitals throughout the state. Our recruiting strategy responds to client needs and offers a wide selection of providers while maintaining high credentialing standards.
NovaNet was founded in 1994 to participate in the rapid evolution of healthcare moving from traditional fee-for-service to a managed care environment. NovaNet recognized a void in the way managed care was being delivered to the consumer. Unlike other networks, NovaNet is a privately held corporation not owned by physicians, hospitals or insurance carriers. The company is led by a team of professionals who have a cumulative total of over 60 years experience in the delivery of healthcare products and services. Our team is committed to providing the best delivery system throughout our areas of service.
Based in Orlando, Florida, MVPPO is a nationwide Preferred Provider Organization (PPO) dedicated to ensuring the highest-quality health care at affordable rates. Nearly 48,190 hospitals, clinics and laboratories, as well as over 449,000 general-practice physicians and specialists from coast to coast allow you the luxury of choice when seeking health care. Before becoming network providers, our physicians and facilities must pass rigid credentialing criteria. Once network participation is established, high levels of patient satisfaction must be maintained in order to stay active in the network. These measures mean you can choose your providers with confidence, knowing that we take every precaution to insure quality service. When seeking medical attention, you can locate providers in one of two ways: calling our toll-free provider locator service at 1-800-952-5277 Monday-Friday 8:30 a.m.- 4:30 p.m. Eastern time, or performing a provider search through our internet provider locator available 24 hours a day 7 days a week. This advanced technology is the utmost in convenience, as it pinpoints providers in your immediate geographical area, and can even provide maps to guide the way all at your fingertips, on-line, 24 hours a day! Quality, choice, and convenience it's our promise, and it's what truly makes MVPPO the MVP of PPOs!
ACM delivers cost-effective, timely healthcare management services, while achieving the highest standards of quality assistance. ACM's telephonic triage process proactively facilitates the delivery of appropriate preventative interaction, which substantially reduces the misuse, and duplication of service. ACM's registered nurses, assistance coordinators, and physicians are available twenty fours hours a day, seven days a week, three hundred and sixty five days a year. This flexibility offers our clients immediate access to front-line medical assistance specialists anytime, from anywhere in the world. ACM offers clients full re-pricing services through our proprietary Canadian, US, and International PPO networks. ACM through its wholly owned claims re-pricing corporation Global Health Care Network (GHCN) hold direct contracts with key medical providers around the world. To augment ACM/GHCN direct contracts and provide our clients with comprehensive claims discount coverage, we have established an exclusive alliance with Access Healthcare International, a wholly owned provider network of Strategic Claims Management International. ACM clients have access to real time data and can monitor Case Management, Claims Re-pricing, Claims Management and Processing status.
National Capital PPO (NCPPO) provides network access and related services to payors of benefits provided to members under the terms of a payor-sponsored health benefit plan ("benefit plan[s]"). Payors may be insurance companies or other groups such as self-insured employers, trusts, or governments. Usually, benefits for medical services or supplies that are payable under the terms of a benefit plan are paid directly by the payor. For some payors, NCPPO may make benefit recommendations and payments on behalf of the payor using payor funds. The administrator of the benefit plan retains authority with respect to eligibility, coverage and the benefits under the benefit plan. Coverage recommendations are subject to all terms and conditions of the applicable benefit plan, including specific exclusions and limitations, and to applicable state and/or federal law. Medical claim guidelines do not constitute plan authorization, nor is it an explanation or guarantee of benefits. Medical claim pricing and processing services provided by NCPPO are available to a payor. Not all payors purchase such services for the benefit plans they sponsor. For payors who have purchased such services, however, NCPPO claims processing includes a proprietary software product licensed from a vendor, McKesson CodeReview (c). The claims processing logic is periodically reviewed and updated by referencing various resources, including the National Correct Coding Guide, the subspecialty guidelines of CPT-4, and the recommendations of specialists who may be consulted. NCPPO developed a guide to medical claim pricing for your reference. This guide appears on the following pages and includes:NCPPO Customized Claims Edits NCPPO Significant Edits NCPPO Modifiers 25 and 59 Recognition Please contact NCPPO Customer Service at 1.800.624.2356 or your local NCPPO network representative If you have questions regarding specific claims adjudication.
Preferred Plan delivers negotiated fee schedules, per diems and other cost containment packages; utilization management and case management; and specialty programs such as high risk pregnancy management. Through innovative programs such as Comprehensive Claims Review, Preferred Plan offers its clients the very latest technology to afford cost savings while maintaining a high level of quality services.
The Cason Group is committed to providing a nurturing atmosphere where mutual respect and encouragement are highly valued. Cooperation and selflessness are essential to succeed in our goal of providing quality service. We are committed to strong families and positive interpersonal relationships. We believe in a balanced lifestyle of work, community and family activities, and recreation. We shall seek to deliver our services in a cooperative and caring environment. We seek to hire individuals who pursue the characteristics of patience, forgiveness, kindness, self-control, wisdom, humility, selflessness and honesty. We make every effort to fully train our staff for their position as well as cross-train for other positions within The Cason Group. We strive to service our clients in a cheerful manner at all times. We are committed to being compassionate and reliable. We consider it a high priority to be immediately available to our customers. We expect agents who work with us to be honest and professional in their conduct. We want to foster an environment for our agents that is mutually enjoyable and profitable. We want to maintain a pleasant and efficient working relationship with our carriers. We strive to be honest, fair, diligent, and beyond reproach.
Founded in 1989, Design Benefit Plans is dedicated to providing quality insurance that helps our clients build brighter futures for themselves and the ones they love. We offer a full-service network of accomplished insurance specialists with the experience necessary to help you make sound financial decisions. From individuals and families, to students and more, our clients save time, money and have health insurance plans customized to fit their needs.
OneNet PPO, LLC (OneNet) is a Preferred Provider Organization (PPO). We market our network and ancillary services to: Third-party payers Self-insured employer groups Insurance companies Our customers also include: Taft-Hartley funds Federal Employees Health Benefits Act (FEHBA) health plans Workers' Compensation payers With the most comprehensive network of physicians and health care facilities in the Mid-Atlantic region, OneNet offers employers an array of high quality, cost-effective options to meet their needs. In 2003, OneNet was ranked the largest PPO in Maryland, and our network continues to grow each year as more physicians and health care practitioners join each year. Our robust network gives participants what they really want - access to quality health care from a large pool of health care practitioners throughout our service area.
ATC Travelers specializes in placing healthcare professionals in challenging and rewarding positions across these beautiful United States. As a division of ATC Healthcare, we are committed to providing you with the intimate level of service you deserve while affording you the benefits of a larger company. With 70 ATC offices located in 27 states across the country, you can be assured of the most personal service available in the travel nursing industry today. Whether you want to spend the winter in sunny Florida, ski the snowy slopes of Colorado, spend the summer on the beautiful coast of Maine or visit the majestic Northwest, we can help you make your dreams come true! Our healthcare professionals enjoy enhanced benefits, beautiful locations and unsurpassed support from our staff of trained professionals. A personal healthcare recruiter will be there to support you throughout the entire travel process - from your initial application through your entire travel assignment. We offer a toll-free support line so you can devote your energies to practicing your profession and enjoying your travel assignment - let us handle the details! We offer extensive relocation assistance, toll-free telephone and fax lines, nurses on staff to provide clinical advice and quality assurance and a staff of professional, caring people whose first priority is taking care of you! ATC Travelers has been in the healthcare travel business for almost two decades. We are an organization run by nurses for nurses, so we know how much you give - that's why we give you more! So contact us now and let us help you launch your career in travel nursing today!
CFHP was established in 1995, by the University Health System, specifically to begin providing health care coverage to the citizens of Bexar and the surrounding seven counties. As the only locally owned and managed, non-profit health plan in the area, our commitment to our members is to provide great health care benefits backed by outstanding service, delivered by people who live right here in South Texas. This web site is intended to help you learn more about Community First Health Plans, learn how to use your plan benefits, or simply locate one of our network doctors in your neighborhood. You also can submit questions from this site. Please feel free to call our Member Services Department at (210) 358-6070 during business hours. Please note: CFHP has made every effort to provide accurate information about its products, services and provider networks. Because this information changes, you can verify information by calling our Member Services department.
PHS is a national health care consulting company specializing in strategic and business planning for pharmaceutical and device manufacturers, hospitals, physician groups and other health care organizations. Preferred Health Strategies has been in business since 1987. Our principals come from the payer industry, both public and private, where they were involved in the development and operation of some of the largest managed care plans in the country. Preferred Health Strategies was formed as a way of bringing this payer expertise to all sectors of the industry, including pharmaceutical and device manufacturers, large hospital systems and physician networks. For over 19 years, we have used our extensive relationships with the payers and our in-depth knowledge of reimbursement, contracting and managed care, for the benefit of our clients.
Encore offers 3 regional networks. The Encore network is one of the largest preferred provider networks in Indiana. There are currently more than 170 hospitals and 31,000 physicians in the Encore network. The Encircle network is an Exclusive Provider organization made up of 43 hospitals and 13,000 physicians. Encircle is a cost effective network that offers better pricing and lower premiums for both employers and employees through its claims savings, deep provider discounts, and reinsurance discounts. With Encircle/Encore Combined, members have access to the entire Encore network of hospitals and providers but can obtain even greater savings when they choose Encircle hospitals.
http://www.universalhealthnet.com
Universal Health Network is a Preferred provider Organization (PPO) with our main office located in Reno, Nevada and a satellite office in Las Vegas to provide a comprehensive statewide presence. UHN was established in May 1991 by Universal Health Services. UHN provides a statewide PPO Network with EPO and Workers' Comp Networks also available in specific areas. To support UHN clients in Northeastern Nevada, a Network was added in Utah based on client choice. The comprehensiveness of the Network was enhanced by the establishment of a complimentary utilization management company. Universal Health Review (UHR) provides utilization management services to clients nationally. UHR's Centers of Excellence program is able to offer some of the finest university hospitals and surgical teams in the country.
http://www.unitedsecuritylifeandhealth.com
United Security Life is committed to providing the best insurance protection and best service to you and your clients. We know that our success is dependent on your success. Therefore, we will provide the support you require to meet the challenges of the new millennium. Current United Security Agents: Log in Here for your quotes and supplies (if you are using a pop-up blocker, please hold down the CTRL key when clicking on the log-in link above) Interested in becoming an agent with USL&H?
PPO USA markets access to the managed care networks developed and/or organized by GEHA. Included in the managed care networks available from PPO USA is the PPO USA Medical Network, CONNECTION Dental, CONNECTION's Avesis Vision Plan and CONNECTION Hearing by HearPO. We've learned a lot about what clients and members expect from a health care network. We are committed to providing network solutions for your health care needs. At PPO USA we have everything you need, everywhere you need us. Our corporate office is located in Lee's Summit, Missouri, a suburb of Kansas City.
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