Capitated Single Specialty Services

The primary focus of HN1 is the providing of Capitated Single Specialty Services. Under these payor agreements, HN1 is contracted on a capitated basis for one or more medical specialty(ies). As part of these agreements, HN1 may use its existing network of contracted providers, the health plan's existing provider network, or some combination of its provider network and the health plan's provider network. HN1 also would usually assume responsibility for the following administrative management functions:

  • Claims Payment
  • Referrals/Authorizations
  • Provider Contracting, Provider Relations and Network Development
  • Credentialing

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