NATIONAL ASSOCIATION OF PREFERRED PROVIDERS (NAPP) Fee Schedule:
☑ Medicare plus 25% or 80% of billed charges, whichever is less.
☑ THREE RIVERS PROVIDER NETWORK (TRPN) – PPO Fee Schedule:
125% of the existing Medical fee schedule as total reimbursement for covered services less applicable co-payments, co-insurance or deductibles.
IMAGINE A ONE OR TWO PAGE HOSPITAL CONTRACT INCORPORATING THESE FEE SCHEDULES…………………….
Some (Most?) PPO fee schedules still play the “discount” game:
☒ NATIONAL PREFERRED PROVIDER NETWORK (NPPN) – PPO Fee schedule:
80% of billed charges.
See all HNA PPO fee schedules here – health plan list and fee schedule – Healthcare Networks of America
