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Corporate Overview
 

A regional leader, National Capital Preferred Provider Organization (NCPPO) offers access to a broad network of independently contracted physicians, hospitals and other health care professionals who have agreed to provide health care services at negotiated, discounted rates.

National Capital PPO networks are geographically and specialty balanced to ensure convenient access to contracted health care services.

NCPPO's medical network serves more than 100,000 enrollees who utilize the services of 23,000 physicians and other health care professionals, including more than 100 hospitals throughout Maryland, District of Columbia, Virginia, Delaware and portions of New Jersey and Pennsylvania. PPO enrollees have the freedom to choose any physician or health care facility, in or out-of-network, and in any state in which we do business. However, network physicians and facilities have agreed to accept discounted rates of reimbursement for treatment, so enrollees who receive medical care within the PPO network have lower out-of-pocket costs and may receive higher benefits for covered services.

NCPPO's behavioral health network includes more than 1,100 physicians and facilities in Maryland, District of Columbia and Virginia. The Workers' Compensation network is comprised of more than 20,000 specialists and facilities in Maryland, District of Columbia and Virginia. The national dental PPO is offered in conjunction with WellPoint Dental.


CORPORATE HEADQUARTERS
6850 Versar Center
Suite 420
Springfield, VA 22151

Phone: 703-916-8583
Toll Free: 800-871-7888
Fax: 703-914-5685

REGIONAL VICE PRESIDENT
Jeanell Austin

SERVICE AREAS
Maryland
Virginia
Delaware
District of Columbia
West Virginia
New Jersey (portions of)
Pennsylvania (portions of)

NETWORK PARTICIPANTS
23,000 Physicians and Other Health Care Professionals
100+ Hospitals and Facilities

MEMBERSHIP
More than 100,000

NETWORK PROGRAMS
Medical PPO and Behavioral Health PPO
Workers' Compensation PPO

OPTIONAL SPECIALTY NETWORKS (available with select NCPPO programs)
WellPoint NextRx
WellPoint Dental

HEALTHCARE MANAGEMENT PROGRAMS
Condition Management (Asthma, Diabetes, Heart Failure, CAD, COPD)
MedCall
MaterniCall

CUSTOMIZED SERVICES
Full Claim Adjudication and Repricing
Customer Service Call Center
Systems Support

Thursday, July 24, 2008

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