Frequently Asked Questions from Provider
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 can I become a provider in Signature Care?
Signature Care has conveniently placed a
Provider Nomination form on this
website within the searchable
Provider Directory
The completion of a Provider Nomination form
does not guarantee participation in the Signature Care network.
Participation is subject to panel review on a business-need basis for each
specialty. Certain specialty panels may be currently closed and no
providers can be added at this time. Please contact Provider Services at
(260) 373-9080 for more information.
I have changed my name and/or address.
Who should I contact?
Signature Care requests all name, address,
and tax identification numbers to be submitted in writing.
You may contact our provider services representatives with changes by:
Signature Care
Attention: Provider Services Representative
P.O. Box 5548
Fort Wayne, IN 46895-5548
As a participating provider, how can I obtain
the contracted rates for my services?
A Provider Fee Schedule Request form
is available on this website under the Provider section.
Please complete all fields of the form and allow five (5) business days for response.
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.
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 are Signature Care claims submitted?
Information about submitting claims is available in the
Claims Payment section of the
Provider Manual.
How long do I have to file a claim?
Providers should submit all claims for services
within 120 days after services are rendered to Signature Care members.
Or, for more specific filing limits, contact the third party administrator
(TPA) or insurance company listed on the group health plan identification
card, as their filing limitations may vary from Signature Care.
What time frame can I expect Signature Care claims to be paid or denied?
"Clean" claims (those that contain all information necessary
to adjudicate the claim) have a 30-calendar-day turnaround time from the
time the TPA or insurance company receives the claim for payment or denial.
Who should I contact regarding members' benefits?
Please refer to the back of the group health plan
identification card for TPA or insurance company information.
If no information is listed, contact Signature Care customer service
at 800-666-4449 to be referred to the correct TPA or insurance company.
Who should I contact for status of a Signature Care claim?
For claims status, first contact the TPA or insurance company
on the group health plan identification card. If no card is available,
call Signature Care customer service at 800-666-4449. Please have the
date of service, name of patient and/or patient identification number
available at the time of the call.
How can I get in touch with Provider Services
with other questions?
Inquiries can be made by:
- E-mail at
ProviderServices@parkview.com.
Prior to e-mailing personal health information (PHI), HIPAA
guidelines should be reviewed.
- Calling Provider Services at 260-373-9080 or 800-666-4449.
- Written inquiries:
- Fax to: 260-373-9003
- Mail to:
Signature Care
Attention: Provider Services Representative
P.O. Box 5548
Fort Wayne, IN 46895-5548
What are the special guidelines for submitting Anesthesia Claims?
For information about submitting anesthesia claims, please read the
Signature Care guidelines document:
Anesthesia Claim Submission Guidelines: HTML
Anesthesia Claim Submission Guidelines: Word
Does Signature Care recognize locum tenen physicians?
Locum Tenen Physicians Effective 3/1/06
Signature Care will allow the use of a "temporary" or locum tenen physician
by a contracted Physician Group for a period of up to, but not exceeding, ninety (90) days.
The locum tenen physician will provide coverage in a contracted physician's absence for the
following circumstances, including but not limited to: illness, pregnancy, vacation,
continuing education, missionary trips or military duty. Should the locum tenen physician's
tenure exceed ninety (90) days, he/she must be credentialed (when applicable) and contracted.
How should I bill for locum tenen services?
Claim Submission
- Physician's group will submit claim for the locum tenen services using the contracted
physician's name in box 31 of the standard CMS 1500 (formerly HCFA 1500) claim form.
- Modifier Q5 or Q6 should be appended to the CPT code in box 24D of the CMS 1500
claim form to indicated services were rendered by a locum tenen physician.
- For more information, contact Provider Services Department at (800) 666-4449,
extension 39080, or (260) 373-9080.