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We are only the network. Please check the back of your card for contact information for your claims administrator or insurance company, and they will update your information for you.
Use our Provider Look-up tool to find a provider in your area.
For patient benefit information, please contact your insurance company, HR representative or plan administrator. That telephone number can usually be found on the back of your ID card.
To check the status of your claim, please contact the insurance company on the back of your ID card.
One of the features of our program is that it’s an “any doctor” plan. You have the freedom to see any doctor you choose, as long as you nominate or refer your doctor prior to your date of service. This is referred as our nomination program. If you’d like to nominate or refer your provider, please click here.
Yes, it’s a good idea to keep your card on you. It tells your doctor how to verify information and submit a claim. The PHN logo must be presented at the time you receive services if you want to receive the best possible discounts and rates. If you do not present your card, you will be risking the chance that a provider will not honor the discount if it is not provided up front.
Under a PPO, you can see any physician you’d like, but you best discount or benefit is when you visit an “in-network” physician.
Usually it is not necessary when you have a PPO plan. But this is something that you will need to confirm with your insurance company or discuss with HR.
This is an insurance related question. Physicians Health Network is not an insurance company. We work with your employer by offering a provider network. If you are insured through PHA Group Benefit Trust, please contact us and we can direct you to a benefits representative.
Payors are individuals or groups that assume the risk of paying for medical treatments. Payors can be Insurance Carriers, Self-Funded/Self-Administered Employer Groups, and Third Party Administrators.
For payment questions - including those about co-payments - deductible and premiums - you will need to contact your human resources representative, health plan administrator or your benefits company directly. Contact information for your benefits company is usually listed on the back of your ID card.
For benefit and eligibility questions, you will need to contact your human resources representative, health plan administrator or your benefits company directly. Contact information for your benefits company is usually listed on the back of your ID card.
For claims questions, you will need to contact your human resources representative, health plan administrator or your benefits company directly. Contact information for your benefits company is usually listed on the back of your ID card.
For questions regarding Cobra coverage, you will need to contact your human resources representative, health plan administrator or your benefits company directly. Contact information for your benefits company is usually listed on the back of your ID card.
For questions regarding enrollment, you will need to contact your human resources representative, health plan administrator or your benefits company directly. Contact information for your benefits company is usually listed on the back of your ID card.
To obtain a HIPAA Certification (verification of insurance coverage) you will need to contact your previous insurance company, human resources representative or benefits administrator directly.
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