(1) A form of health insurance in which its members prepay a premium for the HMO?s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Health Maintenance Organization | 302R00000X |
* Indicates primary specialty
| NPI Number | 1619316718 |
| Legal business name LBN |
NORTH SHORE-LIJ HEALTH PLAN |
| Authorized official | ROBERT BROWN - (VICE PRESIDENT OF MANAGED CARE) |
| Entity | Organization |
| Organization subpart | Yes |
| Enumeration date | 06/21/2013 |
| Last updated | 07/01/2013 - About 13 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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