CHN PPO’s network includes over 228,000 provider locations, with a strong concentration in Connecticut, CHN PPO is a Certified Medical Care Plan (MCP)
Medlogix and CHN PPO have grown nationally via our experience managing some of the most complex auto liability and workers' compensation claims including in New Jersey, Connecticut, Pennsylvania, and Michigan. Our success in these challenging regulatory states paved the way for our national expansion.
Our extensive regional and nationwide network of physicians provides our clients with thousands of state-specialty combinations to match their cases.
- CHN PPO serves insurance carriers, TPAs, Joint Insurance Funds, counties, municipalities, and school boards in Connecticut.
- CHN PPO’s providers are thoroughly vetted with state-specific compliance standards to minimize regulatory risk.
- All providers in Connecticut meet CHN PPO’s high standards for: Workers’ Compensation, Auto (PIP), and Group Health claims.
- CHN PPO operates a certified Workers’ Compensation Medical Care Plan (MCP) in Connecticut.
Medlogix or the Client applies Connecticut state fee schedules, prior to the CHN PPO rate application process.
- Out-of-network Connecticut claims that meet negotiation criteria are routed to CHN PPO’s bill negotiation team to reduce costs.
- Negotiations follow CHN PPO's standard protocol:
- UCR and Medicare benchmarking
- Signed Letters of Acceptance (LOAs) are retained and stored in MyMedlogix
CHN PPO’s proprietary MyMedlogix software integrates with existing claims systems—no need to convert to CHN PPO’s platform.
- MyMedlogix software supports Connecticut clients with:
- Integrated bill review
- PPO application
- EDI
- Real-time analytics for claim performance
FREQUENTLY ASKED QUESTIONS
CHN PPO offers national access through direct contracts and affiliate partnerships, with strong provider concentrations in NJ, NY, PA, MA, NH, VT, and RI.
CHN PPO Group Health offers employer groups an affordable healthcare solution in Connecticut through a network of over 228,000 providers, featuring real-time claims management. Key features include cost mitigation with fixed-rate contracts, a comprehensive provider network, add-on services like pre-certification and case management, and a customizable platform with integrated MyMedlogix software. The service emphasizes a patient-centered approach with experienced medical staff, ensuring quality care and medical expense control. Group health services encompass pre-certification, utilization management, large case management, medical bill auditing, bill negotiations, and field case management.
Where to find us:
Directions from nearest airport:
Bradley International Airport
Schoephoester Rd, Windsor Locks, CT 06096, United States
Get on CT-20 E from Bradley International Airport
5 min (2.6 mi)
Continue on CT-20 E. Take I-91 S to CT-15 S/Charter Oak Bridge in Hartford. Take exit 29A from I-91 S
13 min (12.1 mi)
Continue on CT-15 S/Charter Oak Bridge. Take exit 92 to CT-2 W/Elm St
2 min (1.1 mi)
Continue on CT-2 W/Elm St. Drive to Pearl St
2 min (0.5 mi)
Consumer Health Network
100 Pearl St, Hartford, CT 06103, United States
About Connecticut
Connecticut, located in the northeastern United States, is known for its charming towns, beautiful coastline, and historic sites. It is a state with a rich history, strong economy, and vibrant cultural scene. Key characteristics include its proximity to New York City and Boston, numerous universities, and beautiful natural landscapes.
Popular Landmarks in Connecticut
1. Mystic Seaport
A maritime museum with historic ships, exhibits, and a recreated 19th-century coastal village.
2. Yale University
Home to a prestigious university with historic buildings, museums, and libraries open to the public.
3. Gillette Castle State Park
Features a unique castle built by actor William Gillette, offering scenic views of the Connecticut River.
4. Mark Twain House & Museum
The historic home of author Mark Twain, with exhibits about his life and works.
5. The Maritime Aquarium at Norwalk
Showcases marine life from Long Island Sound, with interactive exhibits and an IMAX theater.
6. Kent Falls State Park
Features a series of waterfalls along a scenic hiking trail.
7. Wadsworth Atheneum Museum of Art
One of the oldest art museums in the United States, with a diverse collection of artworks.
8. Mohegan Sun
A large casino resort with gaming, entertainment, dining, and shopping.
9. Foxwoods Resort Casino
Another major casino resort offering gaming, entertainment, dining, and shopping.
10. Harkness Memorial State Park
Features a historic mansion and gardens overlooking Long Island Sound.
More information:
What is PPO Billing?
CHN PPO Group Health offers real-time claims management. Key features include cost mitigation with fixed-rate contracts, a comprehensive provider network, and a customizable platform. The service focuses on medical expense control.
What is PPO?
A Preferred Provider Organization (PPO) is a type of health insurance plan that allows members to seek medical care from doctors, hospitals, and other healthcare providers within a specific network. Unlike Health Maintenance Organizations (HMOs), PPOs typically do not require members to choose a primary care physician (PCP) or obtain referrals to see specialists. This flexibility allows members to access a wider range of healthcare services without the need for prior authorization, although seeing in-network providers usually results in lower out-of-pocket costs.
Is PPO better than HMO?
PPO plans offer more flexibility, allowing you to see specialists without referrals and choose out-of-network providers, though at a higher cost. HMO plans are typically more affordable with lower premiums and out-of-pocket expenses, but they require you to select a primary care physician and obtain referrals for specialists. The "better" choice depends on individual needs and preferences regarding cost, flexibility, and provider selection.
Similar Keywords:
- Preferred Provider Organization
- Health Insurance Plan
- Healthcare Network
- Medical Providers
- Insurance Coverage
- Managed Care
- Network Providers
- Out-of-Network
- In-Network
- Medical Benefits
Cities in CT
Bridgeport, New Haven, Hartford, Stamford, Waterbury, Norwalk, Danbury, New Britain, West Haven, and Bristol
Zip Codes in CT
06001, 06002, 06003, 06006, 06010, 06013, 06016, 06018, 06019, 06020
Neighborhoods in CT
Downtown Hartford, Yale University Area (New Haven), Downtown Bridgeport, Stamford Downtown, West End (Hartford), and Mystic.