Q: We’d like to save money on our employee benefits. How does using your network save us money?

A: Physicians Health Network has negotiated deep discounts for services provided by physicians and hospitals, which also saves employees and employers money.

Q: Will the employees be able to keep their providers if we change networks?

A: Yes. They just need to inform us who their providers are. We provide an on-line tool that you can send them tool called “Nominate a Provider”. All they need to do is fill out the fields to let us know what providers they’d like to continue seeing and we’ll contract them for you.

Q: Can we change networks mid-term?

A: Yes, network changes are usually done along with other changes to insurance coverage.

Q: Are there any penalties for changing networks?

A: No, you can change at any time.

Q: Beyond cost savings, what can you do to improve upon our benefit package?

A: As a member of PHN you will have access to a network of quality physicians, access to the latest trends in healthcare, participate in physician forums, streamlined office claims administration, attend educational events and presentations and have the ability to promote your practice.

Q: What kind of report can you provide to demonstrate savings and provider representation?

A: We provide you a comprehensive disruption report to demonstrate provider representation. If you do not have a provider on network that you would like in our network, you can nominate them on-line or using the paper process, in which we will contract them to the network.

Q: Can we keep our broker and TPA if we use your network?

A: Yes, we can work with your broker and TPA

Q: Do you do UR and UM (utilization review and management)?

A: Claims are administered by Medical Benefits Admimistrator of MD, a leader in benefit administration to business association in compliance with state and federal regulators. MBA utilizes experienced staff and the smartest technology in automated claims processing to meet and exceed rigorous accuracy and turnaround standards.

Q: How do I access the list of physicians on the network?

A: We have an online provider look-up in which employees can access the list of physicians on the network.

Q: How do I recommend a physician/hospital if they are not on the list?

A: On the network website employees can enter a physician/hospital and PHN will contact the provider to request their participation in the network.

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