ChiroNET Services
• In Network Access
• List of Plans
• Contract and Employer list
• Accounts Receivable Billing and Collections
• Practice Management Consulting
• Bookkeeping
/ Accounting
• CPA/ Federal Tax Reporting
• Financial Advisory Planning
ChiroNET is an independent network of doctors offering its Participating Providers valuable access to key HMOs, PPOs, employers, and workers' compensation entities. We are the Providers' advocates as we negotiate for increased reimbursement and delegated credentialing. Once you join, we forward you Opt-in/Opt-out Plan Summary Sheets for each contract that delineates reimbursement and other key pieces of information. You choose which plans you want to participate in and we add you to just those plans. You can change plans at anytime.
ChiroNET provides RATES, ACCESS and SIMPLIFICATION
RATES:
Who is negotiating your managed care contracts now? How successful are they and how much does it cost? ChiroNET is a large group of providers and can leverage better rates than individuals or small groups. How much would your profit increase if you were getting paid 5% or 10% more for each patient you care for? Compare our Plan Summary Sheet reimbursements to your individual contract reimbursement and see what gains may be available.
ACCESS:
Practices have found it increasingly difficult to gain access to some key contracts. Several major health plans have essentially stopped contracting individual providers and will only add large groups like ChiroNET.
Cigna, for the North Texas area and the State of Oklahoma, is ChiroNET's greatest example of value contracting for our Participating Providers.
ChiroNET pursues delegated credentialing whereby ChiroNET credentials you once; rather than you being required to complete credentialing applications for each plan. When you are approved by ChiroNET's Credentialing Committee you are approved for all delegated contracts.
LIST OF DIRECT CONTRACT PLANS
• American PPO, Inc. |
• NovaNET, Inc. |
Due to the nature of our business, being a Provider Network, accurate Payor information can be difficult to maintain. Consequently, this listing may contain errors or omissions. For the most accurate listing, please research each Plan's website for their current Payors.
CONTRACT AND EMPLOYER LIST
American PPO, Inc. (part of Assurant Health Texas) (www.americanppo.com)
• Academic Risk Health Plans-MS
• AdminOne Corporation-AR
• Allegiance Benefit Plan-AR
• American Natl Life Ins Co-TX
• Assurant Health-AR, TN, LA, OK, MS
• C.L. Frates & Comanpy-AR
• Carolina Benefit Administrators-SC
• Med-Pay, Inc.-AR
• CIGNA HealthCare-AR
• Community Care-Commercial HMO/POS
• CoreSource, Inc.-Little Rock-AR
• Corporate Benefit Services, Inc.-AR
• Correctional Risk Services-MS, AR
• Great West Healthcare
• Harrington Benefits-OK
• HealthLink, Inc.-AR
• Humana Health Insurance-GA, FL, TX, LA
• South Central UFCW-TX
• Stowe Associates-AR
• The J.P. Farley Company-TX, TN
• The Plan Handlers, Inc.-TX
• Time Manufacturing-AR
• Union Pacific Railroad Emp Health Systems
• United Parcel Service
• Valero Energy Corporation
• Wells Fargo TPA-AR
Ancillary Care Services (formerly American Care Source) (www.anci-care.com)
• Accountable Health Plans of America (AHP)
• American Administrative Group (AAG)
• American Trust Administrators
• Cypress Benefits Administrators
• Employee Group Services
• Evolutions Healthcare Systems
• Group Resources-TX
• Interplan Health Group (AHP parent)
• Trustmark
• Alliance Healthcare Corporation
• Corporate Benefit Services of America (CBSA)
• HealthSmart Preferred Care (HSPC)
• Benefit Planners
• Boone-Chapman
• GE Group Administrators
• Icon
• Health eConnex
• Principal Life Insurance Company
• IntraHealth Solutions (IHS)
• Memorial Hermann Hlth Network Providers
• PartnerCare Health Plan
• Poly-America
• PPONext
• ACS Benefit Services
• Employee Benefit Management Corporation
• American Trust Administrators
• Health Systems International
ASMED Health Partnership (www.asfin.com)
A national managed care network most often used for self-funded employers.
Beech Street (www.beechstreet.com)
One of the largest PPO Networks in the nation with over 1,000 employer and related group benefit networks
• Includes the PPONext Network and the AvMed Network
• A&I Benefit Plan Administrators
• Access Healthcare Intl Corp
• Ace USA Domestic
• ACM Healthplan Services
• Alliance Health Providers
• Armor Health Plan
• Bass Administrators
• BC Blue Bell Creameries, Inc
• IMA of Louisiana, Inc.
• One Source Administrators
• State of LA Emp MCO Trust
• Total Plan Services
• Boone-Chapman
• Valero Energy Corporation
• Wells Fargo TPA
• Delta Health Services
• Entrust, Inc.
• Florida Hospital Healthcare System
• Health First
• Healthchoice
• Korean Air
• Mandalay Resort Group
• National Roofers Union
• North & Central Florida LH&WF
• Orange County Foundation Medical Care
• Seminole Tribe of Florida
• Sinclair Oil Health Services
• TPA of Georgia
• University System of Georgia
Cigna Healthcare - North Texas (www.cigna.com)
All Products in the listed Plans, and all Cigna covered lives in the listed Counties
• Preferred Care
• Health Partners
• American Postal Workers Union (APWU)
• National Association of Letter Carriers (NALC)
• Great West
All Cigna covered lives in the following Counties:
• Bosque
• Collin
• Cooke
• Dallas
• Delta
• Denton
• El Paso
• Ellis
• Erath
• Fannin
• Grayson
• Hamilton
• Henderson
• Hill
• Hood
• Hopkins
• Hunt
• Jack
• Johnson
• Kaufman
• Lamar
• Limestone
• McLennan
• Montague
• Navarro
• Palo Pinto
• Parker
• Potter
• Randall
• Rains
• Rockwall
• Smith
• Somervell
• Tarrant
• Van Zandt
• Wise
• Wood
Cigna Healthcare - Oklahoma (www.cigna.com)
All lives in the State of Oklahoma
• Preferred Care
• Health Partners
• American Postal Workers Union (APWU)
• National Association of Letter Carriers (NALC)
• Great West
Coastal Comp (www.coastalcomp.com)
This Plan has over 30 pages of Employers including 700 in the DFW area. Call ChiroNET for a complete listing:
• Arlington-34 Employers
• Carrollton-32 Employers
• Dallas-169 Employers
• Farmers Branch-12 Employers
• Frisco-11 Employers
• Garland-23 Employers
• Grand Prairie-23 Employers
• Irving-29 Employers
• McKinney-16 Employers
• Plano-20 Employers
• Richardson-15 Employers
• Sherman-10 Employers
• Tyler-24 Employers
• Weatherford-13 Employers
Employers Health Network, Inc. (www.myehn.net)
American PPO, Inc. (part of Assurant Health Texas) (www.americanppo.com)
• Academic Risk Health Plans-MS
• AdminOne Corporation-AR
• Allegiance Benefit Plan-AR
• American Natl Life Ins Co-TX
• Assurant Health-AR, TN, LA, OK, MS
• C.L. Frates & Comanpy-AR
• Carolina Benefit Administrators-SC
• Med-Pay, Inc.-AR
• CIGNA HealthCare-AR
• Community Care-Commercial HMO/POS
• CoreSource, Inc.-Little Rock-AR
• Corporate Benefit Services, Inc.-AR
• Correctional Risk Services-MS, AR
• Great West Healthcare
• Harrington Benefits-OK
• HealthLink, Inc.-AR
• Humana Health Insurance-GA, FL, TX, LA
• South Central UFCW-TX
• Stowe Associates-AR
• The J.P. Farley Company-TX, TN
• The Plan Handlers, Inc.-TX
• Time Manufacturing-AR
• Union Pacific Railroad Emp Health Systems
• United Parcel Service
• Valero Energy Corporation
• Wells Fargo TPA-AR
• Accountable Health Plans of America (AHP)
• American Administrative Group (AAG)
• American Trust Administrators
• Cypress Benefits Administrators
• Employee Group Services
• Evolutions Healthcare Systems
• Group Resources-TX
• Interplan Health Group (AHP parent)
• Trustmark
• Alliance Healthcare Corporation
• Corporate Benefit Services of America (CBSA)
• HealthSmart Preferred Care (HSPC)
• Benefit Planners
• Boone-Chapman
• GE Group Administrators
• Icon
• Health eConnex
• Principal Life Insurance Company
• IntraHealth Solutions (IHS)
• Memorial Hermann Hlth Network Providers
• PartnerCare Health Plan
• Poly-America
• PPONext
• ACS Benefit Services
• Employee Benefit Management Corporation
• American Trust Administrators
• Health Systems International
ASMED Health Partnership (www.asfin.com)
A national managed care network most often used for self-funded employers.
Beech Street (www.beechstreet.com)
One of the largest PPO Networks in the nation with over 1,000 employer and related group benefit networks
• Includes the PPONext Network and the AvMed Network |
• Delta Health Services |
Cigna Healthcare - North Texas (www.cigna.com)
All Products in the listed Plans, and all Cigna covered lives in the listed Counties
• Preferred Care |
• Johnson |
Cigna Healthcare - Oklahoma (www.cigna.com)
All lives in the State of Oklahoma
• Preferred Care |
• National Association of Letter Carriers (NALC) |
Coastal Comp (www.coastalcomp.com)
This Plan has over 30 pages of Employers including 700 in the DFW area. Call ChiroNET for a complete listing:
• Arlington-34 Employers |
• Irving-29 Employers |
Employers Health Network, Inc. (www.myehn.net)
• Bass Pro Shops |
• North Texas Specialty Physicians |
First Health (www.firsthealth.com)
• AIG Claims Services |
• John Alden Health |
Focus (www.focus-ppo.com)
Fortified Provider Network, Inc. (www.fortifiedprovider.com)
This Plan has over 500 Corporate Clients with offices, employees and franchises in all 50 States.
Headquarter States Include the following. Call ChiroNET for a complete listing:
• Alabama |
• Kentucky |
Galaxy (www.ghn-mci.com)
Global Health Claim Services (www.globalhealthclaims.com)
• Health Programs: | • SunMed International |
Integrated Health Plan (www.ihplan.com)
This Plan has over 30 pages of Employers. Call ChiroNET for a complete listing:
• Pro Nails Plus |
• Honeywell International, Inc. |
MultiPlan (BCE Emergis) (www.multiplan.com)
Look for the following Names on ID Cards:
• MultiPlan |
• ProAmerica • Preferred Plan • Med Network • Bps Healthcare • HealthNetwork • Formost |
National Choice Care (www.nationalchoicecare.com)
Workers’ Compensation PPO Client List:
• City of Arlington |
• Fair, Isaac & Co., Inc. |
NovaNET, Inc. (www.novanetppo.com)
This Plan has extension coverage in GA, AL and Northern FL, with regional coverage in SC and TN..
This Plan has extension coverage in GA, AL and Northern FL, with regional coverage in SC and TN..
Third Party Administrators Include: | Employers Direct Include:
|
Prime Health Services, Inc. (www.primehealthservices.com)
This Plan has over 600,000 Providers and Facilities in all 50 States. Call ChiroNET for a complete listing of Payors and Employers..
Procura Management, Inc. (www.procura-inc.com)
A subsidiary of Healthcare Solutions. Specializing in Auto and Worker's Compensation Insurance. Client list includes:
• APA Transport |
• Princeton Insurance • Murphy & Beane • Risk Mgt Planning Group • Rockwood Casualty • Speciality Claims • Tuscan Dairies • Walter Dixon |
Private Healthcare Systems (PHCS) (www.phcs.com)
This Plan has over 400 Payors and Employers. Call ChiroNET for a complete listing:
• Acordia National, Inc. |
• Pacificare Life Assurance Corporation (includes Harris Methodist Health Insurance Company) • Principal Life Insurance Company • Private Healthcare Systems, Inc. • Scott and White Health Plan • The Hertz Corporation • The Loomis Company • The Salvation Army • UNICARE Life and Health Insurance Company • United Medical Resources, Inc. • Wausau Benefits, Inc. • WebTPA.com, Inc. • Zenith Administrators, Inc. |
PPO USA/GEHA (Government Employees Health Association) (www.ppousanetwork.com)
PPO USA Network is owned and operated by Government Employees Health Association. GEHA is the second largest federal health plan in the United States:
• Covered Agencies include: |
• Department of Commerce • Postal Service • Internal Revenue Service • Health and Human Services • Social Security Administration • Housing and Urban Development • Environmental Protection Agency • Department of Labor • Department of Justice • Department of Transportation |
Plan Vista Solutions (Coalition America) (www.planvista.com)
• Plan Vista Solutions, a National Prefered Provider Network |
• PlanCare America |
Provider Select, Inc. (www.psippo.com)
• 1921 Iron Workers |
• Cooper Tire and Rubber Company |
Quality Health Management, LLC (QHM) (www.qhmmanagement.com)
Group Health Insurance
• Specifically requested in an increase in their Chiropractic Panel |
• Underscores ChiroNET's philosophy of gaining access to all possible Payor sources |
Rockport (www.rockporthealthcare.com)
• Two Certified Texas WC Network • IMO Med Select: counties of Collin, Dallas, Denton, Hood, Rockwall, Tarrant and Wise • Forte/CompKey Plus: counties of Austin, Bastrop, Bexar, Brazoria, Caldwell, Cameron, Chambers, Collin, Colorado, Comal, Dallas, Denton, El Paso, Fort Bend, Galveston, Guadalupe, Hardin, Harris, Hays, Hildago, Hood, Jefferson, Liberty, Montgomery, Rockwall, San Jancinto, Tarrant, Travis, Walker, Waller Wharton, Williamson, Willacy and Wise |
• Huge list of Texas School Districts including: Blanco ISD, Houston ISD, and San Antonio ISD • Several North Texas Cities including: City of Amarillo, City of Dallas, City of Irving, City of N. Richardson and City of Wichata Falls • Many employers including: CVS Pharmacies, Golden Corral Restaurants, Dollar General, Kimberly Clark, The Gap and the Texas Department of Transportation |
SWMPN (www.sedgwickcms.com)
• Alamo Community College District |
• Duncanville ISD • Fort Worth ISD-5,550 • Fort Worth Transportation Authority • Hurst-Euless-Bedford ISD-2,877 lives • JPS Health System • McDonald’s Restaurants-Statewide • Mr. Gatti’s-Statewide • Sonic Restaurants-Statewide |
TLC Advantage, LLC (www.tlcadvantage.com)
• Client list over 100 pages long, includes the following SD School Boards: |
• Harrisburg • Hill City • Hot Springs • Kadoka • Lead Deadwood • McCook Central • Milbank • Mitchell • Parkston • Pierre • Shannon County • Sisseton • Todd County • Wagner • Winner |
Three Rivers Provider Network (www.trpnppo.com)
• Big Lots |
• Over 14 million covered lives • Over 400 nationally recognized Carriers • Carriers include Aetna, CIGNA, Humana and United Healthcare |
USA Managed Care Organization (www.usamco.com)
• Acordia National |
• Health Plans, Inc. • IBA Self Funded Group • Insurance Systems • Loomis Company • Mecor • Med-Pay • Mega Life and Health Insurance • National Benefit Administrators • Oxford Health Plans • Philadelphia American Life Insurance Company • Prefered Health Systems Insurance Company • Professional Benefit Administrators • Self Funding Administrators • Sharp Health Plan • Transamerica Life Insurance Company • United American Insurance Company • World Insurance Company |
Universal SmartComp (www.universalsmartcomp.com)
• St. Tammy Parish School Board |
• Macys Corporation |
Verity HealthNet, Inc. (www.verityhealth.com)
• Employer Groups Include: |
• IBEW Local 995 |