Concepts of Insurance Company (Medical Billing)

1.  Traditional

  i. Basic Coverage  (In-patient service)

  Its covered technical components

  ii. Major Medical Plan (Out-patient service)

  Its covered professional component

  iii. Comprehensive Coverage (both In & Out patient service)

2.  Managed Care

HMO (Health Maintenance Organization)

POS (Point of Service)

PPO (Preferred  Provider Organization)

EPO (Exclusive Provider Organization)