At CHN PPO network quality is our priority.
Our providers are specialists who are thoroughly vetted and credentialed to treat auto and workplace injuries. CHN PPO’s credentialing meets rigorous standards and maintains state-specific compliance, minimizing regulatory risks. We do not list uncredentialed providers.
- Our providers are highly experienced in Workers' Compensation and PIP standards.
- With our capability for direct integration into your claims system, we improve speed-to-resolution, that results in better outcomes, fewer delays, and stronger documentation.
Customizable National Networks
Our tailored network configurations and services are based on client needs and historical data versus others’ static networks. Direct provider and network relationships give us more control, streamline processes, and ensure accountability.
We offer nationwide access through carefully-vetted affiliate partnerships—without compromising quality.
While we’re headquartered in the Northeast, our affiliate partnerships offer coast-to-coast network access all from one source.
We vet every partner connection to ensure consistency, compliance, and credentialing standards. You get national reach, with CHN PPO’s quality control.
- CHN PPO configures network solutions client-by-client and state-by-state, based on real utilization data and analytics.
- We partner with select regional PPOs that achieve high levels of credentialing, accessibility and cost savings consistent with our rigorous standards.
- CHN PPO maintains the appropriate credentials and compliance in all states.
- Providers across all specialties and provider types - hospitals, rehab centers, chiropractors, podiatrists, etc.
FREQUENTLY ASKED QUESTIONS
CHN specializes in Workers’ Compensation, Group Health, and Auto Liability (PIP) claims, with a focus on workplace and
accident-related injuries.
CHN uses a strict in-house credentialing process following URAC standards, including verification of licenses, board certifications, sanctions, and re-credentialing every three years.
CHN PPO is comprised of individual physicians (primary care and specialists), ancillary providers (such as Chiropractors, Podiatrists, Physical therapists, etc.) and facilities (acute care hospitals, diagnostic facilities, rehab hospitals, SNFs, etc.), all experienced in treating auto and workplace injuries. CHN PPO credentials all providers and facilities prior to becoming participating providers in CHN PPO
PPO Provider Network | CHN PPO
CHN PPO Group Health offers employer groups an affordable healthcare solution through a network of over 230,000 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.
More information:
What is the meaning of PPO network?
A PPO network (Preferred Provider Organization network) is a group of healthcare providers (doctors, hospitals, clinics, specialists, etc.) who have agreed to provide services to members of a PPO insurance plan at negotiated, discounted rates.
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.
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
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