Frequently Asked Questions from Employers
What is Signature Care?
Signature Care is a statewide network of healthcare
providers located in Indiana and northwest Ohio that can be accessed
through your group health plan. Signature Care is a Preferred Provider
Organization (PPO). When you choose Signature Care as your health plan's
PPO network,
you and your employees receive medical services at a negotiated rate
from our contracted providers.
What is the advantage of using a Preferred Provider Organization (PPO)?
A PPO is a managed care network that negotiates prices for medical services
from select, credentialed providers. When you or your employees use a Signature Care
provider, you both save money because you are paying your share of contracted rates.
How large is the Signature Care network?
Signature Care includes over 8,500 physicians, healthcare providers and
hospitals throughout Indiana and northwest Ohio.
How do I know if a physician or hospital is in the Signature Care network?
The Signature Care Provider Directory
can be found on the Signature Care website,
www.SignatureCarePPO.com. You can also
call a Signature Care customer service representative at 800-666-4449.
Spanish-speaking representatives are available.
How do you decide which hospitals and physicians are included in Signature Care?
Signature Care is an "open access"
PPO. Members may choose any
network specialty provider without a primary care physician referral. Only select
hospitals, physicians and healthcare providers who have met credentialing standards
are contracted to participate in the
PPO
network. Signature Care considers provider nominations based upon business
need and credentialing approval.
What is credentialing?
Credentialing, as it applies to Signature Care, is the process
of validating the qualifications of health care professionals.
Why are health care professionals credentialed?
Health care professionals are credentialed to confirm that
their professional qualifications have been stated correctly. Before
health care professionals can become Signature Care providers, their
professional qualifications, such as education, training and licensure,
are verified for accuracy and completeness.
Are all providers credentialed for Signature Care participation?
The following health care professionals who provide care to
Signature care members are credentialed: Doctors of Medicine (MD); Doctors
of Osteopathic Medicine (DO); Doctors of Podiatric Medicine (DPM.); Doctors
of Chiropractic (DC); Doctors of Dental Surgery (DDS); Nurse Practitioners (NP);
Clinical Nurse Specialists (CNS); Certified Nurse Midwives (CNM); Certified
Registered Nurse Anesthetists (CRNA); Psychologists (PsyD, PhD, EdD in
Clinical Psychology); Licensed Mental Health Counselor (LMHC); Licensed
Marriage and Family Therapist (LMFT) and Licensed Clinical Social Worker (LCSW).
What information is verified when a health care professional is credentialed?
Verifications are appropriate for certain specialties and include all
or some of the following: education, training, experience, competence, board
certification, professional license(s), malpractice insurance and, if applicable,
hospital affiliation and authorization to prescribe medication.
How does Signature Care interact with my health plan claims payer?
The Signature Care provider sends claims to Signature Care to have the
applicable charge applied; this process is called "re-pricing." The re-priced claim is
then forwarded to your third party administrator (TPA) or insurance company for final
processing and payment. Most claims are transmitted electronically to expedite claims
handling and to ensure accuracy.
What is the claims mailing address?
Signature Care
P.O. Box 5548
Fort Wayne, IN 46895-5548