The HealthCare Group/ Encore Health Network Response to COVID-19

& Indiana "Stay at home" Restrictions

Encore Health Network understands the vital role it plays in helping ensure that the financial segment of the health care benefits industry continue in full strength during this time. Encore’s role is vital in supporting the health care system and Indiana employers as we all serve our fellow Hoosiers.

 

March 23, Indiana's Governor, Eric Holcomb, issued a "stay at home" order effective March 25th through April 7th to better combat the COVID-19 spread. 

As an "essential function" entity, THCG/Encore's operations have been uninterrupted by the COVID-19 pandemic and are expected to continue without interruption.

Understanding our role as a critical component of the health benefit claims process, Encore previously established and tested disaster recovery protocols including completely "off-site" operations.  That has allowed us to promote social distancing efforts by moving to a fully at-home work site model with no decrease in our "best-practice" quality and claim turn-around that Encore’s know they will receive.  

As an industry, we are all subject to the ripple effect of potential external impacts.  Encore is operating "business as usual" in a fully off-site employee model. We are all in this together, and we will all get through this together.

Bruce Smiley
President
Encore Health Network

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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 your Payor Account Manager, Fred Douse at (317) 621-4265 or fdouse@encoreppo.com or Kevin McShay at (317) 621-4264 or kmcshay@encoreppo.com
PROVIDERS: Please contact Provider Contracting Coordinator, Tina Bilodeau at (317) 621-4269 or tbilodeau@encoreppo.com.


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