We’re glad you participate in the network

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

Why Encore?

As the largest provider owned rental PPO network in Indiana, with tens of thousands of physician locations and hundreds of hospitals, Encore provides brokers and payors with a variety of network products for your employer groups. Encore also offers national network coverage through its various partnerships; your clients are covered wherever they are. We also have developed relationships and maintain consistent competitive rating with various reinsurance carriers to ensure your employer groups get the best stop-loss quote. Encore continues to enhance our repricing systems, maintain a high repricing accuracy with fast claims turnaround time, and live customer service representatives to serve your needs.

We know that today’s ever-changing industry requires multiple options to help combat rising costs of healthcare. That’s why Encore offers the following network products:

    • Encore Health Network PPO provides the most extensive network access
    • Encircle Network provides members with the deepest savings in selected markets
    • Encircle/Encore Combined Network gives our employees the best of both worlds – expansive network access and competitive pricing.
    • Encore Workers Compensation PPO Network – Back to work and life with our workers’ compensation PPO network.

In addition to savings, you simply won’t find a network with a better lineup of complimentary programs anywhere in the state. Encore members receive discounts on vision and hearing service plans through the largest providers in the nation-VSP and EPIC. 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.

Why Encore? Because it means more savings, more coverage, and more of what your employees are looking for in a health network.

ICD-10 UPDATE
The ICD-10 Mandate has been delayed until October 1, 2015. However, Encore will still be fully compliant by October 1, 2014.

For more information, please contact one of our Sales or Account Executives:

Shawn Gibbons, VP of Development at (317) 621-4260 or email at

Sales Executive
Rochelle Forrest at (317) 621-4261 or email at

Account Executive
Kevin McShay at (317) 621-4264 or email at

Encore Health Network delivering unique value to your bottom line.

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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.