CHN PPO
CHN PPO Mitigates Healthcare Costs While Ensuring Affordable, Quality Medical Care
Our fully credentialed network of PPO providers are specialists in Workers' Compensation, Group Health, and Auto/PIP
A Division of Medlogix, CHN PPO is a leading preferred provider organization based in northeastern United States with a premier, fully credentialed network of over 228,000 health care providers.
As the cornerstone of our network, our top-quality health care providers are highly skilled in diagnosing and treating automobile and workplace injuries. Our participating provider agreements cover Workers’ Compensation, Group Health and Auto (PIP).
CHN PPO is a better connected, fully integrated custom solution to traditional PPO networks. We manage everything in-house, work closely with our providers, reduce costs, and integrate every part of the claims process. That's the CHN PPO Difference.
National carriers trust CHN PPO for our committed staff, customizable services, and flexible network configurations that provide seamless access nationwide.
- Seamless integration with our MyMedlogix software.
- In-house credentialing process adhering to strict NCQA standards, including primary source verification of Licensures, Accreditations, Board Certification, Fellowship training, or any additional certifications.
- Ensure patient receives the appropriate treatment in the right setting.
- Seasoned Provider Relations team, with an average tenure of 17 years and leadership boasting 28 years of experience.
- Strong provider network relationships and partnerships.
CHN PPO partners with other regional and national networks to offer our customers a seamless coast to coast PPO network.
Through these direct network contracts and our national network of PPO affiliates, CHN PPO delivers a competitive edge to the clients we serve. CHN and our PPO network partners maintain the appropriate credentials and compliance in all states.
- Less than one percent appeal rate on provider payments as a result of highly accurate bill repricing/contract application.
- Over 90 percent of provider bills are processed within 24 hours.
- 98% of manual PPO re-pricing processed within 48 hours.
- Detailed reporting to track utilization trends.
- A dedicated Data Integrity Team maintains up-to-date provider records, including NPI, TIN, and fee scheduled data.