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Encore is the health network that cares. We provide access to doctors you know, and hospitals you trust

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Why Encore?

As the largest provider owned rental PPO network in Indiana, with tens of thousands of physician locations and hundreds of hospitals, we’ve got you covered through one of our network products: Encore Health Network PPO, Encircle Network, Encircle/Encore Combined Network, OneCareTM Network and our Encore Workers Compensation Network. No matter where you are, you’ll find great savings from Encore Health Network providers right in your neighborhood. And when you travel, we have a solution for any unforeseen care needed when away from home. But Encore gives you much more. 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 the state of Indiana that offers savings of 40% to 50% off the overall national average 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. And we want you to know that you’re taken care of with Encore. That’s why we’re willing to go the extra mile in answering any questions that you might have. Why Encore? Because it means more coverage, more service, and more of what you’re looking for in a health network. For more information, please contact a Sales Executive at (888) 574-8180.

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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.