302R00000X Taxonomy Code - Health Maintenance Organization

Code

302R00000X

ClassificationHealth Maintenance Organization
GroupingManaged Care Organizations
LevelLevel II - Classification
Definition(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.
NotesSource: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) Glossary of terms used in managed care Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58
VersionNCCU Provider Taxonomy Version 22.1 - January 2021

The code 302R00000X is the health care provider taxonomy code for health maintenance organization grouped under managed care organizations. NPI records indicate a total of 4,999 registered providers whose primary or secondary taxonomy code is health maintenance organization of which 243 are registered as females, 105 registered as males and 4,651 are organizations.

302R00000X is a level II taxonomy code "classification" used to specify a health care provider service or occupation related to the Provider Grouping. Taxonomy codes are self-selected by the health care provider. Their specialty is defined based on their education level and training. Taxonomy codes do not specify the actual services rendered by the health care provider.



The Health Care Providers Taxonomy Code dataset is © Copyright 2020 of the American Medical Association. The code set is designed for use in electronic health care transactions mandated under HIPAA.

The taxonomy codes are unique alphanumeric codes, ten characters in length. The codes are divided into three distinct "levels": Provider Grouping, Classification, and Area of Specialization. The code set levels are organized to allow navigating down from generic classification to a provider's most specific level of specialization.

The National Uniform Claim Committee (NUCC) maintains the taxonomy code set. For additional information visit nucc.org