The Finest Organ Transplant Services

Indiana University Health Transplant. Brought to you by Encore – the leading edge health insurance network

Encore Health Network understands that when a need for an organ transplant arises, people want to turn to the very best in the business. That’s why Encore teamed up with one of the nation’s premier organ transplant programs, IU Health Transplant. Located in Indianapolis and recognized as a National Center of Excellence, the center is consistently ranked as one of the largest transplant programs based on volume.

IU Health Transplant is the largest, most comprehensive transplant center in Indiana, performing heart, lung, heart/lung, liver, kidney, pancreas, kidney/pancreas, intestinal, multivisceral transplants. IU Health performs more transplants than the other Indiana transplant centers combined.

For Encore brokers, payors, employers, and members, our relationship with IU Health offers:

  • Competitive transplant rates. As a result of our contract with IU Health, Encore clients and members will benefit from substantial savings whenever a transplant procedure is performed at IU Health Transplant.
  • No transplant access fees. Encore waives costly transplant access fees typically charged by many national transplant networks. These access fees can run as high as $25,000 per transplant.
  • A dedicated transplant representative. Encore’s experienced transplant representative handles all the details in coordinating each transplant case with IU Health. When your claimant is approved and listed as a transplant candidate, simply call Customer Service at (888) 574-8180 and ask to speak with our transplant representative who will coordinate with IU Health. To ensure access to IU Health case rates, please note that Encore must be notified prior to the patient’s transplant procedure.

Would you like to learn more about the center and its transplant services?

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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.