Preferred Provider Organization
/ˈprɛfərd prəˈvaɪdər ˌɔːrgənəˈzeɪʃən/
Definitions
- (n.) A health insurance network arrangement allowing patients to receive care from preferred providers at lower costs, typically involving negotiated rates and partial coverage of out-of-network services.
The patient visited a doctor within the Preferred Provider Organization to minimize out-of-pocket expenses.
Forms
- preferred provider organization
- preferred provider organizations
Related terms
See also
Commentary
In drafting agreements involving PPOs, clarity on network scope and reimbursement terms is crucial to avoid coverage disputes.
This glossary is for general informational and educational purposes only. Definitions are jurisdiction-agnostic but reflect terminology and concepts primarily drawn from English and American legal traditions. Nothing herein constitutes legal advice or creates a lawyer-client relationship. Users should consult qualified counsel for advice on specific matters or jurisdictions.