NUCC taxonomy code
Point of Service
305S00000X
Non-IndividualManaged Care Organizations
- Grouping
- Managed Care Organizations
- Classification
- Point of Service
- Specialization
- None
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Patientary is an informational reference tool built on public data (CMS NPPES and the official ICD-10-CM release). It is not medical, coding, legal or billing advice, and code assignment is the responsibility of a qualified professional. Always verify against the primary source before you bill or file.