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HMO Customer Service

About This Topic

HMOs that provide superior customer service see that:

  • Members easily find doctors and care that meet their needs,
  • The HMO staff answer members’ phone calls quickly, and solve any problems the member may have.
  • The HMO’s information clearly explains the costs that members’ pay,
  • Members don’t get medical bills in error because claims are paid quickly and correctly.

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Why Is It Important?

The best HMOs make it easy for their members to find a doctor and get care when they need it. These HMOs give their members clear information, pay claims correctly, and solve problems quickly.