CNNH Insurance and Billing Information

Insurance coverage is an important consideration today, and we at CNNH appreciate this. While we are “in-network” with many insurance plans, we have developed cost-effective services for ALL patients through our “Specialty Care Medical Home®” model. Our SCMH model reduces fragmentation of care and provides accurate diagnoses and personalized treatment plans.

In addition to having cost-effective services, CNNH is also an “in-network” provider for the following insurance carriers:

Amerihealth PPO
Amerihealth Administrators
Amerihealth HMO
Horizon Blue Cross Blue Shield of NJ (no medicaid coverage)
Independence Administrators
Qualcare
Keystone Health Plan East
Independence Blue Cross (IBC)
Empire Blue Cross Blue Shield
Highmark Blue Cross Blue Shield
Capital Blue Cross Blue Shield
Personal Choice
Multiplan*
``Opt-Out`` Medicare**

CNNH does NOT participate in the Amerihealth “Value” or “Community Advantage” networks

*MultiPlan Network. A MultiPlan logo, usually on the back of your member ID card, indicates you have access to the MultiPlan Network. This is a complementary network; that is, the MultiPlan Network is used as a complement to your health plan’s primary PPO network. While your out-of-pocket costs will most likely be based on your plan’s out-of-network coinsurance levels when selecting a complementary network provider instead of a primary PPO network provider, you get the benefit of the MultiPlan Network discount so your out-of-network benefit dollar goes further.

**CNNH is NOT a Medicare provider, but rather a Medicare”Opt-Out” provider. This means that patients will need to pay the full amount for any service provided by CNNH at the time of service. Please understand that Medicare would pay for this service if a Medicare provider was used. Since CNNH is not a Medicare provider, we will not receive any payments from Medicare. Additionally, Medigap plans do not make payments, and other supplemental insurance plans may choose not to make payment, for items or services not paid for by Medicare. The Medicare Opt-Out contract is viewable on our Policies & Forms page.

If CNNH is not in-network for your insurance carrier, you may have significant “Out-of-Network” benefits that cover most of the cost of care. We have created payment discounts to enhance “Out-of-Network” benefits and we also offer payment plans for individuals with limited insurance benefits who would like to access our services.

Patients paying out-of-pocket or submitting expenses to their insurance company are eligible for a 10% prompt pay discount! It’s as simple as that. When this prompt-pay discount is combined with a patient’s “Out-of-Network” insurance benefit – which in some cases could be as high as 80% – the out-of-pocket expense may be similar to what an “In-Network” patient might pay.

We are not done advocating for our patients! While we are taking steps to make services affordable and cost-effective, we are also taking steps to expand the list of insurance carriers who recognize CNNH as an in-network provider. We are meeting with and educating other insurance companies and state and federal representatives about our unique and cost-effective model of care, including the long-term benefits of the CNNH approach.

For additional benefits information, check with your insurance company prior to the appointment for information about out-of-network coverage, deductibles and other limitations. You may need the following information:

Group NPI #: 1962682989
Provider #: 2622434000

For all out-of-network services, payment is due at time of service.

Health Care Financing Resource Guide, updated April 2013: Download >

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