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Exclusive Provider Organization |
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Exclusive Provider Organization (EPO), a type of managed health care organization in which no coverage is typically provided for services received outside the EPO. However, some EPOs incorporate the primary care physician gatekeeper concept along with prospective approval of referrals to specialists of providers outside the EPO. exclusive provider organization (EPO), n a dental benefits plan that provides benefits only if care is rendered by institutional and professional providers with whom the plan contracts (with some exceptions for emergency and out-of-area services). exclusive provider organization Managed care A managed care organization similar to a PPO–preferred provider organization in purpose and organization, which allows a Pt to go outside the network for care, but must pay the full cost of
the services received; it is similar to an HMO in that primary care physicians act as gatekeepers to a network of other providers, an authorization system, etc. See Gatekeeper, HMO, Managed care organization, PPO. How to thank TFD for its existence? Tell a friend about us, add a link to this page, add the site to iGoogle, or visit webmaster's page for free fun content. |
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Abbreviations for services: FFS - Fee for Service PPO - Preferred Provider Organization HMO - Health Maintenance Organization ASO - Administrative Services Only EPO - Exclusive Provider Organization Information on this list was supplied by the companies themselves. Marketed as the Pick-A-Plan approach, the products will include a health maintenance organization, exclusive provider organization and preferred provider organization. CDPHP Universal Benefits(R) --AchievaCare(TM), preferred provider organization (PPO) and HSA High Deductible preferred provider organization (PPO); AdaptaCare(R) a point-of-service product (POS); AttentiCare(TM), exclusive provider organization (EPO). |
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