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Preferred Provider Organizations [PPO]

  ( 19 )
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.

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1. 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.
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2. Asuris Northwest Health - [USA, Washington] Offers group medical and dental insurance plans. Site describes products and services, and lists affiliated providers. A Regence affiliate.
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3. 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.
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4. 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.
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5. 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.
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6. 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.
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7. 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.
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8. HealthCare Direct, LLC - [USA, Wisconsin] A PPO headquartered in Oconomowoc. Includes provider directory. [site does not function in all modern browsers]
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9. 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.
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10. 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.
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11. 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.
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12. 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.
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13. 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.
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14. 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.
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15. 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.
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16. The Covenant Companies - [USA] A nationwide network offering cost containment for the sports and entertainment industries. [requires Flash plugin]
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17. 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.
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18. 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.
19. Consumer Health Network (CHN) - [USA] Services New Jersey, Connecticut and parts of New York. Site includes a provider search and hospital directory.

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