COMMONWEALTH CARE ALLIANCE, INC. is an exclusive provider organization in Boston, MA. The provider is (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. COMMONWEALTH CARE ALLIANCE, INC. NPI is 1851797542. The provider is registered as an organization entity type.
The provider's business location address is:
30 WINTER ST
BOSTON, MA
ZIP 02108-720
Phone: (617) 426-0600
Fax: (617) 517-7738
The provider's authorized official is Nancy J Roach .
The authorized official title is Chief Operating Officer and has the following contact phone number (617) 426-0600.
The CLIA number assigned to this NPI record is 22D2043084 - other - nonprofit health plan with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/7/2014 and was last updated on 11/7/2014.