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Managed Health Care Administration, Inc
Exclusive Provider Organization in Vestavia, Alabama
NPI 1558798579

Managed Health Care Administration, Inc is a Exclusive Provider Organization based in Vestavia, AL. Managed Health Care Administration, Inc practices in Vestavia, AL. The NPI Number for Managed Health Care Administration, Inc is 1558798579 and holds a License No. (Alabama).

The current practice location address for Managed Health Care Administration, Inc is 2868 Acton Rd, Vestavia, AL and can be reached out via phone at 877-840-1971.

Location: 2868 Acton Rd, Vestavia, AL, 35243-2502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558798579
Provider Name
Managed Health Care Administration, Inc
Credential
Provider Entity Type
Organization
Address
2868 Acton Rd, Vestavia, AL, 35243-2502
Phone Number
877-840-1971
Fax Number
Provider Enumeration Date
10/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2868 Acton Rd
City
Vestavia
State
Alabama
Zip
35243-2502
Phone Number
877-840-1971
Fax Number
person
Provider Business Mailing Address Details
Address
2868 Acton Rd
City
Vestavia
State
Alabama
Zip
35243-2502
Phone Number
877-840-1971
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
302F00000X
License No.
()
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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