Parkview Wabash Hospital joins the Encircle Network!







Encore Health Network wants to update you on recent changes to worker compensation’s regulations in Indiana. Effective July 1, 2014, the new regulations re-define hospital reimbursement. What has changed: All work comp payers must pay hospital charges at PPO contracted rate.  If there is no PPO contract then at 200% of Medicare All providers must bill […]




Effective 12/1/2014, Encore Health Network welcomes Major Hospital and its affiliated providers into the Encircle EPO network.  With the inclusion of this Shelby county based system, the Encircle product strengthens its competitive position within Central Indiana service area. Encore is excited about its continued partnership and commitment with Major Hospital to help employer’s better control […]



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Mar 19, 14 | Comments Off on Download Provider Directories

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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.