What is the purpose of a network provider directory?

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The purpose of a network provider directory is primarily to show providers contracted with an insurance plan for reduced-cost services. This directory is an essential resource for policyholders, as it helps them identify which healthcare providers are part of their insurance network. By using in-network providers, patients can receive services at a lower cost compared to those who are out-of-network, leading to significant savings on healthcare expenses.

Access to this directory allows patients to find doctors, specialists, hospitals, and other healthcare services that have agreed to provide care at negotiated rates with the insurance company. This not only promotes cost-effective care for patients but also helps insurance providers manage costs and maintain relationships with contracted providers.

In contrast to other options, listing all healthcare providers in a state or offering patient reviews does not specifically relate to the functionality of a network provider directory. Likewise, informing about non-network services isn’t the primary intent of the directory, as that information would typically be found in separate documentation concerning coverage outside the network. Thus, the focus remains on the cost-sharing advantages through contracted providers.

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