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PPO Directory

 

Anthem

$16.6 billion in revenue provider of HMO, PPO and group health insurance plans (expanded description).

 

Health Net

The company, with over $11 billion in sales, is a provider of HMO and PPO services in 14 states (expanded description).

 

Humana

One of the largest PPOs in the U.S., with sales of more than $12 billion (expanded description).

 

Oxford Health Plans

The company, with over $5 billion in annual sales, is a leading provider of HMO, PPO, and other health care plan types (expanded description).

 

Sierra Health Services

The company has a strong market share in the HMO and PPO market in Nevada, with more than $.41 billion in sales (expanded description).

 

UnitedHealth Group

One of the largest HMO and PPO companies in the U.S., with sales of more than $25 billion (expanded description).

 

WellChoice

Largest healthcare insurance company in New York, based on HMO and PPO membership. (expanded description).

 


Asuris Northwest Health - [USA, Washington] Offers group medical and dental insurance plans. Site describes products and services, and lists affiliated providers. A Regence affiliate.

Blue Ridge Health Network - [USA, Pennsylvania] Full service provider operating in several counties. Also offers a medical discount plan for many services not covered by insurance.

CCN - [USA] Offers national provider networks and clinical management services in group health, auto injury management, and workers' compensation. A subsidiary of First Health Group Corporation.

Consumer Health Network (CHN) - [USA] Services New Jersey, Connecticut and parts of New York. Site includes a provider search and hospital directory.

The Covenant Companies - [USA] A nationwide network offering cost containment for the sports and entertainment industries. [requires Flash plugin]

Elkhart Medical Organization (EMO) - [USA, Indiana+] Functions as a PPO healthcare network. It includes doctors, hospitals, and other healthcare professionals, serving most of Indiana and parts of Michigan and Ohio.

EncoreConnect - [USA, Indiana+] Information portal for The Encore (PPO), Parkview SignatureCare (PPO), and EnCircle (EPO) healthcare networks serving Indiana and parts of Illinois, Ohio, Kentucky and Michigan.

Flora Midwest - [USA, Ohio] Concentrates on providing a PPO network and related services to third party administrators (TPAs) and insurance carriers. Site includes a list of partners and a provider search. A subsidiary of PPOM.

Fortified Provider Network - [USA] A national network which contracts with insurers and third party administrators. Site describes the company and offers provider look-up, FAQs, and employment opportunities.

The Health Care Payers Coalition (HCPC) - [USA, New Jersey] A partnership of business and labor benefit plans dedicated to promoting quality, accountability and cost containment in the health care delivery system. Offers a PPO program for self-funded programs.

Health Choice of Northwest Missouri - [USA, Missouri] PPO serves northwest Missouri and northeast Kansas. Provides general health plans and is a certified managed care organization for workers' compensation.

HealthCare Direct, LLC - [USA, Wisconsin] A PPO headquartered in Oconomowoc. Includes provider directory. [site does not function in all modern browsers]

HealthSCOPE Benefits, Inc. - [USA] Offers network consulting and development as well as benefits administration with exclusive focus on managing healthcare costs for client companies through customer service, managed care, and informatics services.

Indiana Health Network (IHN) - [USA, Indiana] Offers a PPO network to health and workers' compensation plans offered through insurance companies, third party administrators (TPA's) and self funded employers.

Managed Cost Consortium, LLC - [USA] A healthcare cost-containment organization allied with PPO plans in many parts of the United States. Site describes the company, its alliances and services, and offers a FAQ and provider look-up.

Medical Claims Management, Inc. (MCM) - [USA] In Alabama and nearby states. Offers managed care services, specializing in workers' compensation. Services include PPO network, case management, and review services.

Nationwide Management Systems - [USA] A nationwide all-payer PPO network providing value added management and operational services for medical network administrators, third party administrators, healthcare providers, and service facilities.

One Call Medical, Inc. (OCM) - [USA] An outsourcing organization providing scheduling services through its national network of credentialed providers. Customers include workers' compensation insurers, third party administrators, and self-insured employers.

Pennsylvania's Preferred Health Networks (PPHN) - [USA, Pennsylvania] Statewide affiliation of PPOs comprised of independent regional provider networks which have health insurance plans. Includes list of partners.

ppoNext, Inc. - [USA] A national independent PPO with a large network of providers and healthcare facilities. Contracts its network to insurance companies, health plans, and self-insured employers.

Prime Health Services (PHS) - [USA] A regional workers' compensation and group health PPO network operating in the southeastern and central United States. Serves insurers, third party administrators, and employers.

Provider Select, Inc. - [USA] Offers several services to insurers, including preferred provider network, workers' compensation network, large claim negotiations, utilization review services, and case management.

1st Medical Network, LLC - [USA, Georgia] Provider-owned PPO serving the entire state. Site offers sections for providers, members, and clients, as well as a provider-search facility.

Syndicate Healthcare - [USA] A medical management network with doctors throughout the country, as well as claims and cost containment services worldwide.

UFCW National Health and Welfare Fund - [USA] Services only United Food and Commercial Workers Union members, their families, and retirees. The self insured fund was formed to work closely with the Union through its Negotiated Benefits Department.

United Healthcare India (Private) Limited - [India] Covers over 100,000 employees, with offices in many cities. Formerly Sedgwick Parekh Health Management (Private) Limited.

Xavier Benefits Group - [USA, California] Provides PPO benefits via its XHN subsidiary. Site offers newsletter, physician search, and description of services.


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