We’re glad you’re in the Network

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


Our Claim Appeals process!!!! Encore Health Network has been busy streamlining our claim appeals process by developing an on-line claim submission platform for our providers. To access the new Claims Appeals application, providers should click on the green button labeled Claims Appeals. The provider will need to login to website. If the providers do not have a login, please register for the website. Permission to the site is approved within 24 hours. Once approved, then click on the green Claim Appeals button and fill out the form field as appropriate.

Please note that this application is not a vehicle for claim status (which Encore currently does not have an on-line option) or new claim submission. New claims need to be submitted to Encore via EDI connection OR mailed.

If you have any questions or need assistance, please contact your appropriate Network Development Representative below.

Why Encore?

As a health care provider, you want to work with a network that will make your life a little easier. Encore strives to be that partner in business. We work hard to serve our providers as an efficient and productive facilitator between them and the TPAs. In fact, our latest 6 month data indicates our average provider appeal time as less than 4 days.

And Encore is one of the largest Preferred Provider Organizations (PPOs) in Indiana with over 600,000 members. Our growing network also serves areas in Illinois, Ohio, Kentucky, and Michigan. And our online provider search is one of the most robust and user-friendly directories around. Updates are made nightly to ensure that our members are getting the most current information so that they can connect with the health care professionals in their area that best meet their needs.

We always want you to know that you’re taken care of with Encore. That’s why we’re willing to go the extra mile in serving you and answering any questions that you might have.

Why Encore? Because it means more-more service and more connections between you and your patients.

Interested in Joining Encore Health Network?

If your practice or facility is currently not participating in our suite of network products, and you want to join the network, please contact a member of our Provider Relations team listed below. Or click on Nominate a Provider  located on the sidebar of this page and we will get in touch with you about joining the network. (Please do not complete an application without working collaboratively with a member of the Encore Provider Relations team.)

We look forward to you becoming a part of our network family.

Provider Relations Contact

For any questions or concerns, please feel free to contact  a member of our Provider Relations team:

Logan Joyce, RHIA
Contract Coordinator
(317) 621-4262
Email: ljoyce@encoreppo.com

Julie Corbin
Provider Relations Analyst
(317) 621-4271
Email: jcorbin3@encoreppo.com

Tandra Tucker
Provider Relations Analyst
(317) 621-4269
Email: ttucker@encoreppo.com




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


    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
    HFN, Inc
    Indiana University
    InterPlan Health Group
    IU Health Plan
    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.