choosing a CHA Provider from our network, you can maximize your
benefits under your health plan .
If you use a provider that does not contract with CHA, you may be
subject to higher out of pocket expenses and your benefits may be
limited. If your plan does not offer out of network benefits, you
as the member, may be responsible for payment in full if you use
an out of network provider. In addition, ALWAYS REFER TO
YOUR MEDICAL I.D.CARD which contains important information
and a phone number for pre-certification appropriate for your insurance
plan. BECAUSE PROVIDERS ARE SOMETIMES ADDED OR REMOVED FROM
THE NETWORK, PLEASE BE SURE TO VERIFY PARTICIPATION OF YOUR PROVIDER
PRIOR TO TREATMENT BY CALLING MEMBER SERVICES AT (888) 689-2242,
EMAILING MEMBER SERVICES AT firstname.lastname@example.org,
OR VISITING WWW.CHANETWORK.COM/INFO/SEARCH/
Remember: If you are looking for Therapy,
a good place to start is under Rehabilitation in the Facility
Health Alliance & Memorial Health System strive to be a business
solution for your company's future. To learn more about the
many services Memorial Hospital of South Bend offers visit
How do I check the status of my claim for medical benefits?
on your insurance card and find a phone number for the Payor/Insurance
Carrier . Call that number during normal
business hours and ask about the status of the claim in question.
What types of questions will CHA be able to answer?
or (888) 689-2242 will hold information regarding which provider
is in network and which provider is not. When you call us we answer
your question regarding the provider's participation. You can call
the Payor/Insurance Carrier to ask questions about your coverage,
benefits, and eligibility.
Is a certain doctor or facility in network?
to Provider Search on www.chanetwork.com/info/search/ to see if
that doctor is in network or call our member services number at
(888) 689-2242. You can also verify with the provider at the time
The facility is listed as in network - why was the claim paid at
an out-of-network benefit level?
may act independently from the facilities; you will want to call
CHA with the provider's name and location. You should check participation
of all providers who will take part in your service. Other possibilities
could include: providers may not be in network at all of their locations,
or the provider is in process of being credentialed and not active
at the time services were rendered. Refer specific questions to
CHA at (574) 647-1820 or (888) 689-2242.
How can I get my provider or facility in the CHA network?
out our Provider Nomination Form and send it back to our
Provider Relations Department. If your provider meets all of CHA's
requirements, we will attempt to recruit your provider in network.
Do I need to pre-certify my upcoming procedure?
the pre-certification number that is listed on your card. If there
is no specific number for precertification, just call the number
listed for the Payor/Insurance Carrier.
Since my provider is in network, will the Durable Medical Equipment
he/she provides be in network?
necessarily. The provider is able to get DME/Home Care from various
suppliers. It is ultimately the member's responsibility to confirm
the providers and supplier are in network. Please be sure to ask
your provider to confirm that the supplier is in network with CHA.
They too can call member services at (888) 689-2242 or visit the
website at www.chanetwork.com
Since my provider is in network, will the provider he/she refers
me to be in network?
necessarily. It is ultimately the member's responsibility to confirm
that providers are in network. Please be sure to ask your provider
to confirm that the referred provider is in network with CHA. They
too can call member services at (888) 689-2242 or visit the website
How do I lower my out of pocket expenses?
keep costs down, go to an in-network provider whenever possible.
You can use an out-of-network provider, but keep in mind
that your benefits could be limited and your out of pocket expenses
may be greater. If your plan does not offer out-of-network benefits,
you as the member, may be responsible for payment in full if you
use an out-of-network provider.
How does the provider's office know that I am a CHA member?
you present your medical insurance ID card, CHA in-network providers
will recognize the CHA logo. If you receive a new card from your
insurance carrier, please make sure to discard of the old and always
present the new card to the provider's office.
What happens if the provider that I am searching for isn't listed?
can try to search for the provider alphabetically or search under
a related specialty in the CHA provider search area of the website
( www.chanetwork.com/info/search ),
if you still can not find your provider, you can call Member Services
at 888-689-2242 to confirm that they are in fact not in network
Member Survey for Provider Offices