Frequently Asked Questions from Payor
What is Signature Care?
Signature Care is a statewide network of healthcare providers
located in Indiana and northwest Ohio that can be accessed through an
employer's group health plan. Signature Care is a Preferred Provider
Organization (PPO). When an employer chooses Signature Care as its
PPO network,
health plan participants receive medical services at a negotiated rate
from contracted providers.
How large is the Signature Care network?
Signature Care includes over 8,500 physicians, healthcare providers
and hospitals throughout Indiana and northwest Ohio.
How can I find a physician or hospital 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 providers are included in Signature Care?
Signature Care is an "open access"
PPO that contracts
directly with private office physicians and other healthcare providers to
assure care for its members. 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.
Are all providers credentialed for Signature Care?
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 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 claims system?
Signature Care provides all claims re-pricing for network providers.
Claims are received and transmitted electronically through EDI, or may be received
via mail. Ninety-five percent of EDI claims are re-priced within 24 hours.
Paper claims are re-priced within 48-72 hours. Please see the
Provider Manual for
specific information about claims submission.