What is “PPO plan” in medical billing?

PPO Plan in Medical Billing

PPO plan stands for Preferred Provider Organization plan, a type of health insurance that provides more flexibility in choosing healthcare providers.

PPO Plan in Medical Billing Explained

In medical billing, PPO plans allow patients to see in-network and out-of-network providers without needing referrals. Patients can choose any doctor or specialist, but they pay lower costs for in-network services.

For example, a patient with a PPO plan visits an out-of-network dermatologist but pays a higher co-insurance than they would for an in-network provider.

Discover common acronyms and abbreviations in Medical billing glossary.

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