Encore Health Network has contracted with HSM, Inc., a Minnesota-based specialty network services organization, to 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 website at www.hsminc.com.