Sales Team Contact Form - encoreconnect.com

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About Encore
Help
- FAQ
- Glossary
- Contact Us
News
- Pressroom
- Videos
Events
Network Products
Value Added Products
Provider Search
F
L

Sales Team Contact Form

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Title
Company Name
Company Address
Company City
Company State
Company Zip Code
Phone Number
Email
Current health insurer:
Do you have a broker? YesNo If yes, please fill out the information below
Broker Name
Broker/Agency Name
Broker Address
Broker City
Broker State
Broker Zip Code
Broker Phone Number
Broker Email
Why are you interested in changing networks? (Select all that apply)
New Network OptionsDeeper DiscountsProvider AccessOther- please explain (free flowing text box)

How did you learn about Encore? (Select all that apply)
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Encore Health Network
8520 Allison Pointe Boulevard, Suite 200
Indianapolis, IN 46250–4299
(317) 621-4250 | Toll Free:(888) 574-8180

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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 Relations Manager, Logan Joyce at (317) 621-4262 or ljoyce@encoreppo.com.

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