Panel of providers focused on giving primary care services to patients of a managed care plan.
Insurance Encyclopedia
Primary care network (PCN) (Health Insurance)
A network made up of primary care doctors who offer medical care to members of a certain plan.
Primary Care Network for Health
This is a group of primary care physicians who provide care to those members of a particular health plan.
Primary Care Physician
Some health plans require members to select and seek treatment from a primary physician who either renders treatment or refers the member to an appropriate specialist within the approved health care network.
Primary care physician (Health Insurance)
A physician, chosen by the insured, who provides primary medical care, and refers the insured to specialists for other types of care.
primary care physician (PCP)
Physician (e.g., family practitioner, general practitioner, pediatrician, obstetrician/gynecologist, general internist) who sees patients first for most health problems, who oversees the care of patients in a managed health care plan (HMO or PPO), and who refers patients to specialists (e.g., cardiologist, oncologists, surgeons) for services as needed. Also known as a gatekeeper, primary care doctor, or primary care practitioner.
primary care practitioner (PCP)
See: primary care physician (PCP).
primary care provider (PCP)
See: primary care physician (PCP).
Primary carrier
Health insurance company that pays on a claim as the first carrier before the second insurer pays when a patient has two policies and they are coordinating benefits.
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An original insurer as distinct from a reinsurer.
primary case management (PCM)
Program in which the state contracts directly with primary care providers who agree to be responsible for the provision and/or coordination of medical services to Medicaid recipients under their care. Most primary care case management (PCCM) programs pay the primary care physician a monthly case management fee in addition to reimbursing services on a fee-for-service basis. Also called primary care case management (PCCM).