docPHO Provider Payer Summary
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PHO Provider Payer Summary
PHO Provider Payer Summary Generated: May 10, 2016 Provider: PHO Effective Date: ~ Eastern Iowa Sleep Center, N/A 09/18/2007 Payer Name Coventry Healthcare of Iowa Coventry Healthcare of Iowa Coventry Healthcare of Iowa Coventry Healthcare of Iowa Health Alliance Plan Health Alliance Plan Humana Humana Interplan Health Group Medicaid Medicaid Medicaid Midlands Choice MMC Tiered Network O'Hara UnitedHealthcare UnitedHealthcare Wellmark Wellmark Wellmark Wellmark Product Name Aetna/Coventry HMO & PPO Coventry Carelink Coventry Medicare Advantra CoventryOne Health Alliance Medicare Advantage Health Alliance Plan PPO Humana ChoiceCare PPO & HMO Commercial Humana ChoiceCare PPO & HMO Medicare Advantage Interplan Health Group PPO Medicaid Amerigroup Iowa, Inc. Medicaid AmeriHealth Caritas Iowa, Inc. Medicaid UnitedHealthcare Community Plan Midlands Choice PPO MMC Tiered Network O'Hara Workers Compensation Options PPO & Non-Options & RV Heritage SecureHorizons Medicare Advantage Unity Point/St. Luke's Employee Plan Wellmark Blue Rewards UnityPoint HyVee Wellmark HMO Wellmark PPO Status Par Par Par Par Par Par Par Par Par Par Par Par Par Par Effective Date 09/18/2007 01/01/2014 09/18/2007 01/01/2014 01/01/2015 09/18/2007 08/01/2015 09/18/2007 09/18/2007 04/01/2016 04/01/2016 04/01/2016 09/18/2007 07/25/2013 09/18/2007 09/18/2007 07/01/2009 Par Par 01/01/2015 09/18/2007 09/18/2007 Par Comments Narrow Network - Out of Network Payer loads as department of hospital Tier 2 Payer loads as department of hospital EISC Directly Contracted w/ UnityPoint Narrow Netwrok Tier 2
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