DESCRIPTION

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. Claims are sent directly to AMCO for repricing and data collection, and forwarded to the appropriate administrator for processing.

PARTICIPATING PROVIDERS

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:

Audiology Chiropractic Dialysis Centers Home Health Home Infusion Home Medical Equipment Hospice Mental Health Professionals Occupational Therapy

Optometry Orthopedic Rehab Equipment Orthotics & Prosthetics Physical Therapy Podiatry Respiratory Therapy & Oxygen Speech Therapy Surgery Centers

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.

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.

Payors contracted with AMCO utilize independent vendors for these services. AMCO does not provide pre-certification/utilization review/case management services.

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.

FOR MORE INFORMATION