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Location

Wellspace Nexus

Exclusive Provider Organization, Case Management / Care Coordination

Languages: English

About Wellspace Nexus

Wellspace Nexus is an exclusive provider organization located in Sacramento, CA.

Related Providers

The doctors and healthcare providers related to Wellspace Nexus include:

Our Facilities

Wellspace Nexus has been registered with the National Provider Identifier database since May 13, 2022 and its NPI number is 1962149864 (certified on 05/13/2022).

Book an Appointment

To schedule an appointment, please call (916) 737-5555.

Exclusive Provider Organization

An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Exclusive Provider Organizations in Sacramento, CA

Case Management / Care Coordination

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Case Manager Care Coordinators in Sacramento, CA

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