Physician Hospital Organization
Please click here for provider information and a phone directory for SmartHealth.
Unified Health Plan (UHP) uses the Providrs Care Network. We have a direct contract PHO contract with Providers Care so all our our providers in the PHO are in network with this plan.
For all Providers Inquires call 1-800-259-8330 or email ProviderRelations@ProvidrsCare.net.
The PCN logo will display in the member card.
Electronic Claims Submission:
Payer ID# 48100
Paper Claims Mail to:
238 N. Waco
Wichita, Kansas 67208
Patients enrolled in Wow Health may access your services through Multiplan's ValuePoint network as we are an in-network provider for Value Point.
Wow members will have an ID card featuring the ValuePoint by Multiplan logo.
Allwell is Centene Corporation's Medicare Advantage product in Kansas. Together, Allwell and Sunflower Health Plan exist to help members get the care they need to feel their best.
Cigna believes virtual care has the potential to help providers attract and retain patients, reduce access barriers, and contribute to their ability to provide the right care at the right time. Their policy ensures you can continue to receive ongoing reimbursement for virtual care provided to your patients with Cigna commercial medical coverage.
Billing and reimbursement requirements:
For services included in our Virtual Care Reimbursement Policy, a number of general requirements must be met for Cigna to consider reimbursement for a virtual care visit. When all requirements are met, covered services are currently reimbursed at 100% of face-to-face rates (i.e., parity).
Services must be on the list of eligible codes contained within in our Virtual Care Reimbursement Policy.
Claims must be submitted on a CMS-1500 form or electronic equivalent.
Modifier 95, GT, or GQ must be appended to the virtual care code(s).
Claims should be billed POS 02.
Except for the noted phone-only codes, services must be interactive and use both audio and video internet-based technologies (i.e., synchronous communication).4
Store and forward communications (e.g., email or fax communications) are not reimbursable.
For a complete list of billing requirements, please review the Virtual Care Reimbursement Policy.
GEHA (Government Employees Health Association, Inc.) is a not-for-profit provider of medical and dental plans for federal employees based in Lee’s Summit, Missouri.
They use the United HealthCare Options PPO network.
They have a new Provider Advocate Program. Contact Holly Hoette at 833-424-2477 ext. 4294
or email her at holli.hoette@GEHA.com.
Ambetter from Sunflower Health Plan is Centene Corporation's Health Insurance Marketplace product. Ambetter exists to improve the health of its beneficiaries through focused, compassionate and coordinator care.