Change in claims processing and customer service for care from alternative care providers
Claims processing for covered services provided by alternative care providers is transitioning from American Specialty Health (ASH) to Providence Health Plan for most commercial group customers. This includes services from chiropractors, naturopaths and acupuncturists.
This change is applicable upon contract issue/renewal for all Oregon non-grandfathered, fully insured groups with effective dates of Jan. 1, 2014 or later, excluding PEBB and Health Republic customers.
This modification combines customer service and claims processing for these services under Providence Health Plan, enabling more seamless and efficient benefit administration for members and providers.
Providence Health Plan members will still have access to all care services through the robust ASH provider network. The changes only affect the administration of claims.