3/10/2010

AETNA Healthcare (HMO, EC, QPOS, MC, USAccess, OC, TC)

ANTHEM  BCBS OF VIRGINIA (PPO, Anthem/BCBS carriers file all claims to local Blue Cross)

ANTHEM HEALTHKEEPERS  (HMO, POS, carriers file all claims to local Blue Cross)

ANTHEM HEALTHKEEPERS PLUS – Medicaid product through Anthem

CARENET – Medicaid product through Southern Health 

CIGNA  (Managed Care, Open Access Plus, PPO, Great West)

COVENTRY HEALTH/Southern Health (Coventry Health underwritten by Southern Health POS/PPO, Coventry Healthcare National PPO, Mail Handlers, and First Health)

FIRST HEALTH – A TPA through Coventry Health

Great West  – A TPA through VHN Virginia Health Network

Humana Choice Care – A TPA through VHN Virginia Health Network

MAMSI  (MAMSI Life and Health) Patient Insurance ID number begins with a C or M

MEDICAID

MEDICARE

Medicare Advantage (Replacement) Plans

MULTIPLAN/PHCS (also known as Private Healthcare Systems) PPO only *We do not participate with the POS or EPO plans.

ONE NET PPO A TPA through Mamsi

OPTIMA FAMILY CARE -  Medicaid product, (also known as Sentara). Bon Secours hospitals ONLY

OPTIMA HEALTH (commercial) Memorial Regional Medical Center & St. Mary's Hospital Par Only

UNITED HEALTHCARE  (MDIPA, Optimum Choice, Choice, Choice Plus, POS, PPO) Patient ID # begins with an 8 or 9

VIRGINIA HEALTH NETWORK (VHN)  - Great West, Humana Choice Care network

VIRGINIA PREMIER – Medicaid product