We Evolve

Created in December 2018, EncoreCombined™ is Encore Health Network’s answer to the question all employers and Third Party Administrators face – what is the most competitive network to any of the national carriers? Designed to have the flexibility of a PPO, EPO and Point of Service product, EncoreCombined™ high performance network will meet your clients’ needs for a local solution for their local healthcare plan.

The benefits of EncoreCombined™ network:

  • Competitive network discounts that can compete with carriers with fixed pricing
  • Open access network
  • Versatility of network usage in an EPO, PPO, or POS health benefit plan
  • May be tiered with Encore Health Network PPO in a point of service plan
  • Extremely competitive network access fee
  • May be used with a national network for out-of-area coverage
  • Competitive reinsurance ratings that help maintain lower administrative costs
  • Access to Encore’s Value-added products
  • All customer service and claims are processed in our Indianapolis office.

With the EncoreCombined™ Network, employers and employees get access to one of the largest networks in Indiana. EncoreCombined™ Network offers the best of both worlds: savings and access.

Value-Added Products
In addition to savings, you simply will not find a network with a better lineup of complimentary programs anywhere in the state. EncoreCombined™ members can receive:

  • VSP – discounts on vision and hearing service plans through the largest providers in the nation
  • 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 Health Network ? Because it means more savings, more coverage, and more of what your employees are looking for in a health network. An Indiana company to meet the needs of Indiana employers.

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

X

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 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.