Classification: Point of Service
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62
Volume numbers are based on primary as well as secondary taxonomy codes of Organizations.
Data based on 2014 Census Population Estimates. Organization information last updated 1/20/2020
Green Color Indicates no Organization(s) recorded for that state
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The NPI Database was last updated on 1/20/2020 with 6,255,181 records.