A HMO is a type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won’t cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage.
What are the KPIs You Should Know for Prior Auth Management and Performance Evaluation?
Learn the most critical metrics to improve your prior auth processes.