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  2. Anthem hammers out new coverage pact with Cleveland Clinic ...

    www.aol.com/anthem-hammers-coverage-pact...

    Blunt said that roughly 9,000 people would be affected if Summa leaves Anthem's network. Contact reporter Derek Kreider at DKreider@Gannett.com or 330-541-9413.

  3. Mount Carmel East - Wikipedia

    en.wikipedia.org/wiki/Mount_Carmel_East

    This is a network of providers for care that is not of an emergency nature. [31] The hospital is also affiliated with Mount Carmel Health Partners – a network of up to "1,200 primary care and specialty physicians" – and with Anthem Blue Cross and Blue Shield .

  4. Health care providers say Anthem billing problems are ... - AOL

    www.aol.com/news/health-care-providers-anthem...

    Apr. 9—Underpayments, unpaid claims and other billing complications are a chronic problem for independent health care providers using the Anthem insurance network, Maine doctors and professional ...

  5. EmblemHealth - Wikipedia

    en.wikipedia.org/wiki/EmblemHealth

    [4] [5] This new health care model was built around a network of participating providers and was a precursor to today's preferred provider organization (PPO). [5] [6] In order to expand its presence in the upstate New York market, GHI established GHI HMO as an incorporated [clarification needed] entity in May 1999. [5]

  6. Health insurance in the United States - Wikipedia

    en.wikipedia.org/wiki/Health_insurance_in_the...

    A survey issued in 2009 by America's Health Insurance Plans found that patients going to out-of-network providers are sometimes charged extremely high fees. [117] [118] Network-based plans may be either closed or open. With a closed network, enrollees' expenses are generally only covered when they go to network providers.

  7. Anthem Blue Cross and Blue Shield will remain in Reid Health ...

    www.aol.com/anthem-blue-cross-blue-shield...

    Those insured with Anthem Blue Cross and Blue Shield no longer have to worry about losing insurance access locally as it will stay in Reid Heath's network.

  8. Preferred provider organization - Wikipedia

    en.wikipedia.org/wiki/Preferred_provider...

    In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...

  9. Anthem Blue Cross Blue Shield calls off plan to cap ... - AOL

    www.aol.com/news/anthem-blue-cross-blue-shield...

    A major health insurance provider is backtracking on plans to cap anesthesia coverage for patients in at least one state. Anthem Blue Cross Blue Shield announced last month that starting in 2025 ...