302R00000XCurrent NUCC CodeOrganizations

Health Maintenance Organization Providers

Managed Care Organizations → Health Maintenance Organization

4,591 active providers in NPISignal’s imported NPPES dataset report this code as their primary taxonomy.

NUCC Definition

Taxonomy code: 302R00000X
Grouping: Managed Care Organizations
Classification: Health Maintenance Organization
NUCC display name: Health Maintenance Organization

(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

NUCC Source Notes

Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58

Providers

A sample of active providers reporting this taxonomy code.

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Where These Providers Practice

States with the most active providers reporting this taxonomy code.