Encircle is right for you

Whether you’re an employee, producer or claim payor, you’ll find that Encircle has what’s right for you

Launched in 2003, Encircle Network is a narrow network developed to help contain rising healthcare costs while providing an exclusive network of physicians and hospital committed to delivering the highest quality healthcare serves available.  Employers recognize that affordable healthcare benefits are important to their employees, without compromising quality.  Encircle is cost effective for both employers and employees, with claims savings, deeper discounts, and reinsurance discounts – better pricing and lower premiums.  What’s more, it satisfies all your healthcare needs.

Encircle Network give provides employers and payors:

  • The best commercial pricing in most metropolitan markets
  • An exclusive network with all specialties represented
  • Geographically specific network with no gatekeeper
  • Can be offered as a dual choice with Encore Health Network PPO or as an exclusive arrangement
  • Can be wrapped by a National Network
  • Affordable network access rates (pepm) that help maintain low administrative costs
  • Access to Encore’s Value-added products

Value-Added Products
Our members have access to a wide range of complimentary programs like VSP which provides discounts on vision services, and Epic which gives members savings on hearing service plans with the country’s largest coalition of hearing physicians and audiologists.  Encore is also the only PPO in Indiana that offers savings of 40% to 50% off the overall average national price for LASIK through Qualsight.

And should the need arise, members also benefit from Encore’s relationship with IU Health Transplant Center in Indianapolis, both in the renowned quality of service and in cost saving benefits.

Contact an Encore Sales or Account Executive at (888) 446-5844 to discuss how you can use Encore Health Network’s suite of products.

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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.