Use our logo with your story

But please be sure to review our requirements and standards before providing employer groups with ID cards

ID card Requirements

Encore requires at a minimum:

  1. Identifying THCG Network logo (see below).
  2. Member Name, Member Unique Identification Number and effective date if possible.
  3. Employer Group Name, Employer Group Number.
  4. Appropriate claim submission address(es) and telephone number(s) for benefits, eligibility, customer service, and Utilization Review and pre-certification information.*
  5. Approval of ID card template prior to effective date by Encore Health Network representative. Please contact your Payor Account Manager:
    • Fred Douse @ fdouse@encoreppo.com or (317) 621-4265
    • Kevin McShay at kmcshay@encoreppo.com or (317) 621-4264

*CLAIMS MIALING ADDRESS FOR ID CARDS
Encore Health Network requests that the payor’s Claim Mailing Address and EDI number is on the member’s medical card. With claims going to the Payor first, you can properly track turnaround times and apply eligibility. If there is a need to use Encore’s claim address and EDI number please contact your Payer Account Manager to make this request.

Encore Health Network does not produce ID cards. It is the responsibility of the payor to provide ID cards to the participants.

View sample Encore NetworkID cards
Download the 1mb Identity Usage PDF

CURRENT LOGOS

To download, please click on the appropriate logo.

Encore Prime
Encore Combined
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, Tina Bilodeau at (317) 621-4269 or tbilodeau@encoreppo.com.