Participating Encore Chiropractors

Encore Health Network established a relationship with HSM, Inc., to administer their chiropractic network. The one change under the relationship with HSM that has caused the greatest amount of questions and payment problems for providers, is indentifying Encore patients and filing the claims correctly to HSM. All claims should be sent to HSM directly, not to the address on the ID card. Claims sent directly to the payor or Encore will be processed and paid at out of network benefits. Encore requires all payors to put their logo on the ID card, so your staff should check all ID cards, front and back. Upon noting the Encore logo, register or change the patient’s insurance information to send claims to HSM directly.

View all Articles by: Melissa Clark, CCS-P