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Utilization Management
Exclusive Provider Organization in Ridgeland, Mississippi
NPI 1457535056

Utilization Management is a Exclusive Provider Organization based in Ridgeland, MS. Utilization Management practices in Ridgeland, MS. The NPI Number for Utilization Management is 1457535056 and holds a License No. 9923719 (Mississippi).

The current practice location address for Utilization Management is 576 Highland Colony Pkwy, Ridgeland, MS and can be reached out via phone at 601-605-2023.

Location: 576 Highland Colony Pkwy, Ridgeland, MS, 39158-1859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457535056
Provider Name
Utilization Management
Credential
Provider Entity Type
Organization
Address
576 Highland Colony Pkwy, Ridgeland, MS, 39158-1859
Phone Number
601-605-2023
Fax Number
Provider Enumeration Date
12/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
576 Highland Colony Pkwy
City
Ridgeland
State
Mississippi
Zip
39157-8769
Phone Number
601-605-2023
Fax Number
person
Provider Business Mailing Address Details
Address
576 Highland Colony Pkwy
City
Ridgeland
State
Mississippi
Zip
39157-8769
Phone Number
601-605-2023
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
302F00000X
License No.
9923719 (Mississippi)
Definition
(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.
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