Arkansas Managed Care Organization, AMCO, is Arkansas' largest independent PPO network. AMCO is recognized as a leader in Arkansas due to its high degree of accountability and continued commitment to the provision of quality, cost-effective health care, outstanding customer service, stability, and competitive savings.
Organized in late 1993 under the auspices of the Arkansas Medical Society, AMCO's statewide network now numbers over 6,000 providers including physicians, hospitals, and a comprehensive range of ancillary services.
AMCO serves as the statewide PPO network for many insurance carriers and third party administrators and also contracts with self-insured employers, representing a membership over 200,000. Claims are sent directly to AMCO for repricing and data collection, and forwarded to the appropriate administrator for processing.
PHYSICIANS 5,000+ physicians
- 40% primary care, 60% specialty care
- 99+% of AMCO physicians accept new patients
- 80% of AMCO physicians are Board Certified
HOSPITALS 100+ hospitals (general, tertiary & specialty care)
Additional hospital contracts are in the final stages of completion. The following specialized tertiary care services are provided by AMCO Hospitals:
Level III Neonatal Intensive Care Cardiovascular Care Burns Organ Transplants
Psychological, Chemical Dependency, Neurological & Physical Rehabilitation
Long Term Acute Care
ANCILLARY 1000+ ancillary providers
Additional services included in AMCO's network include:
GEOGRAPHICALLY ACCESSIBLE CARE
AMCO has also contracted with select managed care networks outside the perimeter of Arkansas (i.e. Memphis, TN) to ensure its members have seamless access to high-quality providers at managed care pricing. Please inquire if you need more information about this coverage, since these providers are not listed in AMCO's Directory. Arrangements can easily be made for this coverage through AMCO at no additional cost.
AMCO initiates comprehensive credentialing on each physician provider, utilizing the Arkansas State Medical Board's Centralized Credentials Verification Service (CCVS), as mandated by the State. AMCO combines its credentialing procedures with information obtained from CCVS, which is NCQA certified. Credentialing takes approximately seven weeks.
BENEFIT DESIGN REQUIREMENTS
To maximize savings, AMCO Payors utilize a minimum of 20% steerage in their health plans (i.e. 90/10 "in network" vs. 70/30 "out of network"). Many plans have included office visit co-pay for "in network" office visits, although not a requirement of AMCO.
PRE-CERTIFICATION/CASE MANAGEMENT
Payors contracted with AMCO utilize independent vendors for these services. AMCO does not provide pre-certification/utilization review/case management services, however we are able to recommend an Arkansas company which offers these services.
COVERAGE FOR PAYORS WITH MULTI-STATE LOCATIONS
If your company needs nationwide PPO coverage for multiple locations, AMCO has two options available for you. AMCO is affiliated with the following national PPO networks: Beech Street (a Viant network) and USAccess. Please contact AMCO for more information.
AMCO enters each covered person's census information into the repricing system in order to assure that claims are only repriced for AMCO Members. AMCO does not verify eligibility for AMCO Providers or verify benefits for Members.
AMCO's provider directory is available on-line www.AMCOPPO.com. You may click on the map of Arkansas by county or conduct a more specific search by specialty, city, name or county. A printable version is also available on-line.
