Join the evolution of healthcare …Encore

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

As the largest provider owned PPO network in Indiana, with tens of thousands of physician locations and hundreds of hospitals, Encore provides brokers and payors with a diverse suite of network products for your employer groups that offers exceptional savings and service. Encore is not a publicly traded company beholden to shareholders. Encore’s focus is Indiana employers and their employees. Our networks are:

  • EncoreCombined Network gives our employees the best of both worlds – expansive network access and top tier pricing.
  • EncorePrime Network provides members with the deepest savings in selected markets
  • Encore Health Network PPO provides the most extensive network access.
  • 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 can receive:

  • VSP – discounts on vision and hearing service plans through the largest providers in the nation-VSP and
  • EPIC – hearing service plans through the largest providers in the nation
  • Qualsight. 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.

For more information, please contact a member of our Sales team or submit form on click button below:

Encore Health Network Sales Team

Gerard McDonald
Business Development Manager
(317) 601-6852
Gmcdonald2@encoreppo.com
Rochelle Forrest Hankins
Sr. Sales Executive
(317) 621-4261
rforrest@encoreppo.com

EMERGE. EVOLVE. EXCEL. ENCORE.

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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 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 Relations Manager, Logan Joyce at (317) 621-4262 or ljoyce@encoreppo.com.