In service plans the provider had to agree to the terms as well as sign a contract. Under the plans the provider would be reimburse for his or her services directly. This would alleviate any collection issues with the patients. The money that would be paid to the provider would be stated in the plan. Even though the service may cost more the bill would be considered paid in full other than any deductions that the patient was required to pay. Under this plan at any time the provider’s records could be audit. The patient must see a provider that was contracted in order not to receive a bill that was denied under the plan. PPO and HMO are normally the health insurance that is provided for employees through their employer. “A PPO plan offers a network of healthcare providers to choose from, and you have the freedom to receive care from any in- or out-of-network doctor, specialist or hospital without a referral – even when you travel. Keep in mind, however, that your out-of-pocket medical costs are lower when you choose an in-network provider.” (Humana) Since there is so much flexibility with the Preferred Provider Organization (PPOs) this
In service plans the provider had to agree to the terms as well as sign a contract. Under the plans the provider would be reimburse for his or her services directly. This would alleviate any collection issues with the patients. The money that would be paid to the provider would be stated in the plan. Even though the service may cost more the bill would be considered paid in full other than any deductions that the patient was required to pay. Under this plan at any time the provider’s records could be audit. The patient must see a provider that was contracted in order not to receive a bill that was denied under the plan. PPO and HMO are normally the health insurance that is provided for employees through their employer. “A PPO plan offers a network of healthcare providers to choose from, and you have the freedom to receive care from any in- or out-of-network doctor, specialist or hospital without a referral – even when you travel. Keep in mind, however, that your out-of-pocket medical costs are lower when you choose an in-network provider.” (Humana) Since there is so much flexibility with the Preferred Provider Organization (PPOs) this