1a : monarch, kingb : the ruler of a principality or state. 2 : a male member of a royal family; especially : a son of the sovereign. 3 : a nobleman of varying rank and status. 4 : one likened to a prince; especially : a man of high rank or of high standing in his class or profession.
Mechanisms for Payment. Probably the key element of the managed care contract for the provider is the mechanism for payment. The contract should state how, when, and what the provider will be paid. The provider's personnel should understand the claims' forms and processing procedures.
Health maintenance organizations (HMOs), preferred provider organizations (PPOs), and point-of-service plans (POS) are all types of managed health care. The purpose of managed care is to provide members with access to a comprehensive system of medical care that offers savings and encourages quality service.ith a PPO plan, you may visit an out-of-network provider and still receive some coverage for their services. However, because the insurance company has not negotiated discounted rates with these providers, you will usually have to pay co-insurance or the difference between the network and out-of-network prices.