Physician Hospital Organization

How To Use

Step 1

Step 3

When you arrive at the provider's office:

Present your benefit plan Identification Card. This step is very important for proper claims handling and payment.

If required by your benefit plan, pay the appropriate office co-payment at the time of service. If your health benefit plan has a deductible amount, you may be asked to pay your portion of the deductible or any required co-payment at the time of service.

Your provider will send your in-network medical claim to the address indicated on your Identification Card.

Call your selected provider to schedule an appointment.

Identify yourself as a Pinnacle Care participant.

Verify that the provider is a participating member of the Pinnacle Care network.

Select a physician from the directory.

Step 2