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CFMC NETWORKS

  • The Preferred Provider Organization (PPO) is a network of participating hospitals, physicians, and ancillary providers who have agreed to accept discounted fees and agree to physician peer review and utilization management as a means to maintain quality care. The PPO emphasizes patient choice, allowing access to a broad selection of providers who agree to deliver care in a cost-effective manner.
  • The Exclusive Provider Organization (EPO) is a network of participating hospitals, physicians, and ancillary providers that places greater emphasis on health care management. Patient access is limited to EPO providers. A nurse triage model is utilized to monitor access to services, and providers must obtain approval based on predetermined criteria before services are rendered. This efficient and tightly managed care program has saved our clients as much as 20% over other models. There is no need to select a primary care physician to serve as the gatekeeper. Patients are free to select any provider in the EPO panel for their health care needs.
  • The Workers' Compensation Network (WCO) is designed to assist the employee in returning to work while controlling medical treatment costs. Through our network of workers' compensation hospitals, physicians and ancillary providers, time away from work is minimized and employer costs are contained. Costs are further controlled through excellent hospital contracts, discount off the fee schedule, and through physician peer review and utilization management.
  • Access to National PPO Network

 

CFMC Provider Network PPO
PCP's 10,100
Specialist 10,800
Hospital 251
Ancillary 5553

 

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California Foundation for Medical Care
Corporate Office
P.O. Box 2425
Riverside, CA 92516
800-334-7341     Fax: 951-686-1692

CFMC Programs
Claims Online
Client List
Downloads
CFMC Online

Help
About Us
Board
Site
Privacy Statement


Contact Us
California Foundation for Medical Care
Corporate Office
P.O. Box 2425
Riverside, CA 92516
800-334-7341     Fax: 951-686-1692