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Self-Funded Supporting Entities

Self-Funded Supporting Entities

The following are self-funded supporting entities:

Carriers.The term "Carrier" refers to insurance companies that are regulated by the states in which they do business. A carrier employs actuarial and underwriting practices to evaluate and assume risk for insurance policy coverage.

Pharmacy Benefit Manager (PBM)is a third party administrator of prescription drug programs. They are primarily responsible for processing and paying prescription drug claims. They also are responsible for developing and maintaining the formulary, contracting with pharmacies, and negotiating discounts and rebates with drug manufacturers.

Preferred Provider Organization (PPO)is an entity that provides health care services with utilization review through providers that are otherwise independent on a discounted fee-for-service basis, typically in return for expedited payment of claims and an increased volume of patients.

HCAA
1015 Grupp Rd., #31373
St. Louis, MO 63131
Phone: (888) 637-1605
Fax: (314) 207-0101
Email: hcaainfo@hcaa.org

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