We’re glad you’re in the Network

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

ICD MANDATE UPDATEEncore Health Network will accept either ICD-9 or ICD-10 for date of service/discharge date prior to 10/1/2015.  We will only accept ICD-10 for date of service/discharge date on or after 10/1/2015.  Claims with ICD-9 will be rejected starting on 10/1/2015.

Why Encore?

As a health care provider, you want to work with a network that will make your life a little easier. Encore strives to be that partner in business. We work hard to serve our providers as an efficient and productive facilitator between them and the TPAs. In fact, our latest 6 month data indicates our average provider appeal time as less than 4 days.

And Encore is one of the largest Preferred Provider Organizations (PPOs) in Indiana with over 600,000 members. Our growing network also serves areas in Illinois, Ohio, Kentucky, and Michigan. And our online provider search is one of the most robust and user-friendly directories around. Updates are made nightly to ensure that our members are getting the most current information so that they can connect with the health care professionals in their area that best meet their needs.

We always want you to know that you’re taken care of with Encore. That’s why we’re willing to go the extra mile in serving you and answering any questions that you might have.

Why Encore? Because it means more-more service and more connections between you and your patients.

Interested in Joining Encore Health Network?

If your practice or facility is currently not participating in our suite of network products, and you want to join the network, please contact a member of our Provider Relations team listed below. Or click on Nominate a Provider  located on the sidebar of this page and we will get in touch with you about joining the network. (Please do not complete an application without working collaboratively with a member of the Encore Provider Relations team.)

We look forward to you becoming a part of our network family.

Provider Relations Contact

For any questions or concerns, please feel free to contact  a member of our Provider Relations team:

Tina Bilodeau
Provider Contracting Coordinator
(317) 621-4269
Email: tbilodeau@encoreppo.com

Randy Shideler
Provider Relations Specialist
(317) 621-4271
Email: rshidele@encoreppo.com

X

X

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

×
×
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.

×
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

×
×
×
Translate »

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.

Register