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We value our traditional PPO network.

Encore provides access to doctors you know, and the hospitals you trust

Encore Heath Network PPO is our traditional PPO network that has most expansive network of our suite of Network products.  This network gives  employers and payors:

  • Expansive network access within the state of Indiana with access to over 100 hospitals and tens of thousands provider locations
  • Flexibility with benefit plan designs which allows the network to be used as a wrap or with a National network
  • A perfect choice to be used as a part of a travel network
  • Affordable network access rates that help maintain low administrative costs
  • Access to Encore’s Value-added products

Value-Added Products
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 Indiana that offers savings of 40% to 50% off the overall average national 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.

For more information, please contact a member of our Sales and Payor Account Management teams:

Shawn Gibbons, VP of Development at (317) 621-4260 or email at sgibbons@encoreppo.com

Sales Team
Rochelle Forrest at (317) 621-4261 or email at rforrest@encoreppo.com
Eric Meadors at (317) 621-4109 or email at emeadors@encoreppo.com
Bert Sorenson at (317) 868-4269 or email at bsorenson@encoreppo.com

Payor Account Team
Fred Douse at (317) 621-4265 or email at fdouse@encoreppo.com
Kevin McShay at (317) 621-4264 or email at kmchsay@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 Contracting Coordinator, Logan Joyce at (317) 621-4262 or ljoyce@encoreppo.com.