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preferred provider organization An arrangement whereby a third-party payer contracts with a group of medical care providers who furnish medical services at lower than usual fees in return for prompt payment and a certain volume of patients.
Ãâó: 64.143.115.92/common/html/glossary/glossary_p.htm
preferred provider organization A delivery system where providers are under contract to an insurance company or health plan to provide care at a discount or negotiated rate. There is freedom of choice among In-Network providers, including specialists. When In-Network providers are used, out-of-pocket expenses are lower and no claim forms are required.
Ãâó: www.kelsey.com/glossary.html
preferred provider organization A managed care program that combines the freedom of fee-for-service with cost-management features by encouraging patients to use participating dentists. These dentists are selected either for their moderate fees or because they have agreed to accept a reduced fee schedule for PPO patients. Patients may choose any dentist, but will receive the highest level of benefits by selecting a PPO dentist.
Ãâó: pahu.org/Consumer/Group_Terms.htm
preferred provider organization A program in which healthcare providers contract with a specific health plan to provide medical services to the covered persons in the plan. The providers under contract are known as Preferred Providers, and include hospitals, physicians and other medical facilities. The covered person is encouraged to use the preferred providers in order to gain the maximum benefit from their plan. The enrollee may also use a non-participating provider at reduced benefit levels.
Ãâó: www.cshpnetwork.com/glossary.asp
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