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Broad PPO Network. The National Capital PPO (NCPPO) network is geographically and specialty balanced to ensure convenient access to contracted health care services.

NCPPO's network includes 100 hospitals and more than 20,000 physicians and other ancillary professionals throughout Delaware, District of Columbia, Maryland, Virginia, West Virginia and portions of New Jersey and Pennsylvania. PPO enrollees have the freedom to choose any physician or health care facility. Network participating physicians and facilities have agreed to accept discounted rates of reimbursement for treatment or services.

Claim Repricing. NCPPO provides claim repricing for affiliated payors. Payors may receive repriced claims by electronic means either directly or through a clearinghouse (such as WebMD). Physicians and hospitals may submit claims electronically to NCPPO. Claims repricing services are managed by HealthLink in St. Louis, MO.

Eligibility Maintenance. Payors submit eligibility electronically to NCPPO to facilitate claims routing.

Responsive Customer Service. The NCPPO network is supported by HealthLink's service-driven philosophy. We build our programs around the needs of our clients and we support the programs with efficient, informed, accessible service. We offer toll-free customer service assistance to members, physicians, hospitals and other health care professionals, group clients and payors.