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The Network
We directly
contract with health care providers on behalf of our payors nationwide. Today we
are over 120,000 providers strong with rapid growth
in all 50 states. We represent more than 300 payors such as Taft Hartley plans,
self insured and fully insured plans, insurance companies and TPAs.
We are passionate
about delivering our providers unsurpassed service
while creating a contracting model that is simple to administer and
maintain.
Why join
our Network?
- Unlike
PPO and HMO networks, our network offers
health care savings without the hassles that you have in
the contracting cycle. There are minimal credentialing
guidelines your staff has to submit and maintain and our fee
schedules and reimbursements are simple to understand and
are based on nationally recognized benchmarks. Best of all,
we care about creating a relationship with you that will be easy
to maintain using our technology.
- We are
passionate about delivering our providers unsurpassed
service through our resources.
- We offer
easy to administer reimbursement schedules.
- We represent
a base of payors with national coverage that will
have access to your services.
- We ensure
consistency in contractual reimbursements by
repricing all claims internally.
- We promote
healthy competition by allowing smaller payors
access to the same competitive reimbursements that larger
payors have. This decreases the risk of continued payor
consolidation.
- We do
not share your contract with any other entity.
Instead we work exclusively with you and with our clients to
create a network of value to providers, payors and patients.
Your current
patients and prospective future patients can find you
on our web site easily using our
online provider
search. You may already have been nominated by one of your
current patients or payors. Participating in our network demonstrates
your willingness to work with your patients to achieve the best value
for their health care dollar.
Contracts
The formal agreement(s)
can be downloaded by clicking
on the links on the upper left of the page. Our goal is to make the
contracting process simple and quick. If you have questions about
the agreement(s), you can e-mail or call us. We will work expeditiously
to answer your questions. Our goal is to create a contracting cycle that
takes less than 30 days from nomination to participation in our network.
This lessens the amount of time required by you and allows your time
to be spent on tasks more beneficial to your practice.
1. Download and fill
out the form
2. Include applicable credentialing described in the agreement.
3. Sign and mail 2 copies to:
PCA - Coalition America
Vice President, Provider Recruiting
Two Concourse Parkway, Suite 300
Atlanta, GA 30328
For all future updates, please send to NPPNU@coalitionamerica.com
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