Claims Process
Submitted by klav2011 on December 17, 2011
- Category: Miscellaneous
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Claims Process
Features of Health Plans
This summary will describe the differences and similarities among the major types of health plans and if anyone plan offers greater financial or coverage benefits to either a consumer or a provider.
The four basic types of plans are a traditional indemnity plan, also known as a “fee-for-service plan, Preferred Provider Organization (PPO), Point-of-Service Plan (POS), and a Health Maintenance Organization (HMO)”. (The First Step in the Medical Billing Process, 2008) The “fee-for-service plan,” is a where a person can choose any doctor or hospital as well as can refer him or herself to any specialist without a referral. This plan involves more...
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