Claims process changes for alternative care providers
For most commercial group customers, claims processing for alternative care is transitioning from American Specialty Health to Providence Health Plan. This includes covered services from chiropractors, naturopaths and acupuncturists.
Providence Health Plan members still will have access to all care services through the robust American Specialty Health provider network. The changes affect only the processing and administering of claims.
The changes apply to new contracts and to renewals for all Oregon non-grandfathered, fully-insured groups whose plans took effect on 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.