Features of Private Payer and CDHP

Features of Private Payer and CDHP - Features of Private...

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Features of Private Payer and CDHP University of Phoenix Claims Preparation II: Clean Bills of Health (AXIA) Kimberly Jacobs HCR 230 October 2, 2011 Features of Private Payer and CDHP Jacobs 1 Features of Private Payer and CDHP A health plan that pays doctors a specific amount of money for every patient covered by this plan is called a Group Health Maintenance Organization. At the same price every month, a patient can have as many or as few visits as he or she needs.
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In a Preferred Providers Organization (PPO), patients under the health plan pay a lowered rate or fee for service. Patients who visit doctors “in network” pay lower fees for the services they receive as opposed to visits to doctors that are “out of network.” A health plan requiring covered patients to visit their primary healthcare provider, except for emergencies, is call a Health Maintenance Organization (HMO). These plans focus on checkups for wellness and preventive care. This keeps patients healthier and catches diseases in (hopefully) the early stages of development.
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This note was uploaded on 12/14/2011 for the course AXIA OF UO AAAA0GOT71 taught by Professor Gaylordvanalstine during the Spring '09 term at University of Phoenix.

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Features of Private Payer and CDHP - Features of Private...

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