What is SOUTH CENTRAL Preferreds relationship with my third party administrator (TPA) or payor?
SOUTH CENTRAL Preferred, a PPO, manages the delivery of your health care. Our recommendations will be given to your providers and your TPA. Final authority for determining what services are covered under your employer’s benefit plan resides with your TPA. Our recommendations focus on determining the appropriate level and setting for your care. If you are unsure which TPA your employer uses, please refer to your identification card. 8. What is an “allowable fee?” SOUTH CENTRAL Preferred has contracts with all participating providers. These providers agree to provide their services to our members for a negotiated price. We call this price the “allowable fee”. When using a participating provider, you are never billed more than the allowable fee for their services.
