302R00000X Taxonomy Code - Health Maintenance Organization

Taxonomy Code

Code:
302R00000X

Type:
Managed Care Organizations

Classification:
Health Maintenance Organization

Specialization:
N/A

Version:
NCCU Provider Taxonomy Version 16.1

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.

Level:
Level II - Classification


Related Taxonomy Codes

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization
1 302F00000X Exclusive Provider Organization
2 305R00000X Preferred Provider Organization
3 305S00000X Point of Service


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This page was last updated on: 7/1/2016
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