Insurance

Insurance

Everyone who walks through our doors is treated with respect, integrity, and love. We expect the same in return. Not many things invoke anger like getting an unexpected bill. Like begets like, so we need to have an understanding.

We currently file insurance with the Highlands Wellmont group. Those companies include:

Managed Care Networks who assign HWHN’s effective date for new providers:
* The provider may begin seeing patients covered under the below listed plans when confirmed with or notified by HWHN of the appropriate effective date.

  • 4Most
  • Aetna Health Plans (Open Choice, POS/Managed Choice, and EC/EPO Elect Choice)
  • AmeraNet
  • Anthem (PPO, PARIPCP addendum)
  • CorVel (Workers’ Comp.)
  • Evolutions Healthcare Systems PPO
  • Great-West Healthcare
  • United Healthcare of the River Valley Entities (formerly John Deere Choice, Secure Plus/Medicare, Select/HMO Gatekeeper)
  • Prime Health Services, Inc. (Group Health)
  • Provider Select, Inc.
  • SelectNet Plus
  • Southern Health Services
  • Trustmark

Managed Care Networks who assign their own effective dates for new providers:
* The provider will not be listed as participating and thus should not see patients covered under the below listed plans until confirmed with or notified by the MCO.

  • American PPO
  • Beech Street (Group Health/Auto Med/Premier/Providian and Workers’ Comp)
  • Blue Network C (formerly Blue Classic product of BCBS of TN)
  • CCN (Group Health and Workers’ Comp)
  • Cigna (PPO, POS, HMO, OAP/Flex)
  • First Health (Group Health and Workers’ Comp)
  • Galaxy
  • GEHA PPO (Government Employees Hospital Agreement)
  • Humana Choice Care
  • MultiPlan
  • NovaNet
  • The Initial Group-Initial Health Alliance (PPO) and Initial Plus (POS)
  • USA Managed Care

If your insurance company is not listed call us. Some smaller companies are easy to contract with and we may still be able to file your claim for you. We also can provide you with the necessary paperwork to file your claim yourself. Many times your insurance company will pay a reduced amount for “out-of-network” providers. If you send the correct forms to them, eventually you may receive a payment. You would be responsible for your entire cost of the visit at the time of service. If your insurance company would happen to send us the money, we would forward all of it to you at that time.

We are not responsible for your medical condition, nor are we responsible for the decision your insurance company makes in regards to this condition. Sometimes the insurance coverage you have chosen does not cover what you are complaining about, or may not cover a test needed to diagnose your problem. Remember, your insurance contract is between you and your insurance company. Their payment to us is on your behalf, for you. When you ask someone else to pay your bill, you are beholden to what they ultimately decide. Even after final payment there may be a balance due, and I expect you to honor this. Obviously, if we can help we will; if there is a mistake on our part we will correct it. When you walk through our doors you are making a contract to pay for our services. The insurance coverage you may or may not have is not my primary concern. I care about you, the individual. I trust you are here to get the help you have not found elsewhere. It is not our intention to spend our time negotiating payment with you or your insurance company. I choose to spend my time helping you, enabling you to attain better health and wellbeing. This is our expertise—this is ultimately why you have chosen IHC.

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