Locally Owned. Locally Managed

A significant part of Encore Health Network’s advantage is that we’re locally owned and managed.

ABOUT US
Encore Health Network is committed to supporting the Third-Party Administrator (TPA) and Broker markets in Indiana and Kentucky by providing the highest quality, cost effective PPO Network for both employers and employee health and workers compensation network needs. With a focus on accuracy, efficiency, seamless interactions with healthcare providers and payers and over 35 years of experience, Encore is the PPO Network leader in Indiana serving several hundred thousand members. Encore’s primary commitment is to its members and assures access to an extensive provider network with a flexible menu of services and network products at competitive pricing with outstanding customer service.

OUR OWNERS
The HealthCare Group, LLC, one of Indiana’s largest managed care organizations, owns Encore Health Network. Ownership includes some of Indiana’s most respected hospital systems located in Indiana: Community Health Network, Deaconess Health System and Indiana University Health.

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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.