institution
Commonwealth Care Alliance, Inc.
Exclusive Provider Organization in Boston, Massachusetts
NPI 1851797542

Commonwealth Care Alliance, Inc. is a Exclusive Provider Organization based in Boston, MA. Commonwealth Care Alliance, Inc. practices in Boston, MA. The NPI Number for Commonwealth Care Alliance, Inc. is 1851797542 and holds a License No. (Massachusetts).

The current practice location address for Commonwealth Care Alliance, Inc. is 30 Winter St, Boston, MA and can be reached out via phone at 617-426-0600 and via fax at 617-517-7738.

Location: 30 Winter St, Boston, MA, 02108-4720
institution
Provider Profile Details
NPI Number
1851797542
Provider Name
Commonwealth Care Alliance, Inc.
Credential
Provider Entity Type
Organization
Address
30 Winter St, Boston, MA, 02108-4720
Phone Number
617-426-0600
Fax Number
617-517-7738
Provider Enumeration Date
11/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30 Winter St
City
State
Zip
02108-4720
Phone Number
617-426-0600
Fax Number
617-517-7738
person
Provider Business Mailing Address Details
Address
30 Winter St
City
State
Zip
02108-4720
Phone Number
617-426-0600
Fax Number
617-517-7738
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
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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