302R00000X Taxonomy Code - Health Maintenance Organization

Taxonomy Code

Code: 302R00000X

Type: Managed Care Organizations

Classification: Health Maintenance Organization

Specialization: N/A

Level: Level II - Classification

Definition: (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Version: NCCU Provider Taxonomy Version 18.0

Related Taxonomy Codes

Taxonomy Code Taxonomy Clasification Taxonomy Specialization
302F00000X Exclusive Provider Organization
305R00000X Preferred Provider Organization
305S00000X Point of Service

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This page was last updated on: 1/1/2018
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