Archive for the ‘Featured’ Category

The HealthCare Group supports Shepherd Community Center

February 24th, 2016

Indianapolis, IN—As part of its 30th anniversary initiative, The HealthCare Group, LLC (Encore Health Network) is announcing that Shepherd Community Center will be the center piece of its 2016 community support programs. Both THCG and Shepherd Community Center are celebrating their 30th anniversaries in 2016. “In this 30th anniversary year for both organizations, it seems […]

Watch Our Network Grow!

February 10th, 2016

The HealthCare Group’s Network department has been busy expanding network access by adding facilities and providers to our network products. Please see the following new facilities:  Norton Hospital and its affiliated providers in Louisville, KY including Kosair Children’s Hospital – effective 1/1/2016 to the Encircle Network  Hendricks Regional Health in Danville, IN effective 2/1/2016 to […]

Encore Health Network Celebrates 30th Anniversary

January 22nd, 2016

Indianapolis, IN—2016 represents the 30th year the Encore Health Network has served as a provider network to the health benefit plans of hundreds of thousands of Hoosiers. From the beginning – then known as VHA Tri-State — to today, The HealthCare Group (THCG) has prided itself in delivering value to its payer and provider business […]

ICD-10 Update

July 13th, 2015

CLAIMS PRIOR TO 10/1/2015 Encore Health Network will accept either ICD-9 or ICD-10 diagnosis codes for claims with date of service/discharge date prior to 10/1/2015. CLAIMS ON OR AFTER 10/1/2015 We will only accept ICD-10 for date of service/discharge date on or after 10/1/2015. Claims submitted with ICD-9 codes will be rejected. If you have […]

Parkview Wabash Hospital Joins Encircle EPO

January 15th, 2015

Parkview Wabash Hospital joins the Encircle Network!

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My Payor Download



If you have any questions, please contact webmaster@encoreconnect.com
Special Authorization is required to access the Payor Updates.
Please contact one of the following Account Executives for access:
· Holly Joyce at (317) 621-4263 or hjoyce@encoreppo.com, or
· Kevin McShay at (317) 621-4264 or kmcshay@encoreppo.com

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Notice

Encore has entered into a new arrangement for chiropractic services with HSM, Inc. HSM, Inc., a Minnesota-based specialty network services organization, will administer the chiropractic network for our Encore and Encircle service areas.

HSM will directly hold contracts with all participating chiropractors; therefore, there are some changes of which you should be aware. Regarding billing, chiropractors will now send their claims directly to HSM. HSM will collect the data in their system, including treatment plans for case management, and forward claims to the appropriate Encore payor. The payor will send all payment directly to HSM, who will in turn reimburse the chiropractor according to the negotiated rates.

If you are interested in becoming a participating chiropractor in the Encore Health Network, please contact HSM at 800-432-3640 or visit their web-site at www.hsminc.com.

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Current Worker's Comp Payors

Arete USA D/B/A The Covenant Companies
HealthSmart
HFN, Inc
Indiana University
InterPlan Health Group
IU Health Plan
MCMC LLC
ASU Group
Major Hospital
ACS CompIQ Corporation, A Xerox Company

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Payor and Provider Resources

Payors please contact Account Executive Kevin McShay at (317)621-4264 or kmcshay@encoreppo.com for access.

For any provider issue, please contact Provider Contracting Coordinator, Tina Bilodeau at (317)621-4269 or tbilodeau@encoreppo.com.