Physician Hospital Organization
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.