Preferred Provider Organization (PPO)

As a Preferred Provider Organization (PPO) for self-insured employers, SOUTH CENTRAL Preferred provides a combination of affordability, cost controls, and physician choice.

Extensive Network - More than 95% of health care providers in our three county regions participate in our network.  Utilization of these providers affords substantial discounts through negotiated fees.

No "Gatekeeper" – SOUTH CENTRAL Preferred is a network of participating physicians, but does not require patients to seek approval from a gatekeeper.  Referral forms are not used.

Paper-free convenience - Physicians, hospitals and other participating providers send their bills directly to SOUTH CENTRAL Preferred, relieving you of time-consuming complex bill forms when utilizing network providers.

Provider Credentialing - Participating providers have been carefully selected based on qualification and experience criteria.  We review, education and training, malpractice and state sanction history, and board certification.

Utilization Management - Our Utilization Management nurses use nationally and locally established standards to measure performance, evaluating both inpatient and outpatient services.  This review of procedures and use of medical services and facilities ensures timely and efficient delivery of health care.

Medical Management - Each local area in which SOUTH CENTRAL Preferred operates has a Medical Director appointed to oversee the care provided to members in that geographic region.  The concept is simple: who better knows the specific medical community than a licensed physician in that area?