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What is
CCN?
CCN, a wholly owned subsidiary of First Health
Group Corp., provides comprehensive, cost-effective
managed care services for group health plans,
including one of the nation’s largest PPO
networks. The CCN® Network is the
PPO of choice for TPAs, insurance carriers and
other payors looking for quality, affordable health
care.
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Is CCN
national?
Yes. The CCN® Network serves more
than 3.4 million people across the country, with
more than 400,000 participating physicians, hospitals
and other health care providers in all 50 states
plus the District of Columbia.
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Is CCN
an insurance company?
CCN is not a health plan, and we do not underwrite
risk or serve as a claims administrator. A major
advantage of CCN is our "portability."
Clients can use the CCN managed care system with
their existing indemnity plan and TPA or insurance
carrier. CCN is willing to work with any carrier/claims
administrator that does not have a competitive
PPO of its own.
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What types
of services does CCN offer?
In addition to the CCN® Network,
CCN’s portfolio of services includes flexible
claims repricing; clinical management that offers
traditional utilization review and early medical
assessment; medical case management; front-end
imaging and indexing; a proprietary non-network
fee schedule; pharmacy benefit management; and
CDN—Community Dental NetworkSM.
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How do
I find a CCN provider?
Currently, the most convenient way to find a doctor,
hospital or other health care service provider
participating in the CCN® Network
is by searching our electronic directory. The
electronic directory includes the most detailed
provider information available and is updated
daily. You can also call CCN for assistance in
locating a provider, 24 hours a day, at 1-888-685-7774.
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Why should
I use a CCN® Network provider?
Under your group health plan, you are free to
decide whether to use a CCN provider, but there
are many advantages to doing so:
- They will file health insurance claims for
you.
- They will collect only patient co-payments,
not the full amount of the charges.
- Their services will most likely cost you
less because of CCN’s contract rates with
them, and in some cases, because your health
plan pays higher benefits for using CCN providers.
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Can I
nominate a provider for the CCN®
Network?
Yes. If you are a CCN client, please contact your
account manager to discuss the nomination process.
If you are a member, you may complete our online
provider nomination form, or obtain one from your
employer or health plan administrator.
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How does
CCN channel patients to its network?
CCN encourages strong benefit plans that direct
or channel participants to CCN® Network
providers within state-specific guidelines for
directing care. Increasing network penetration
means health care cost savings for payors and
members. Our electronic directory is the most
convenient way for members to locate a provider.
Other channeling tools include ID cards, paycheck
stuffers and early identification of high-cost
members through early medical assessment.
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How can
I get more information about CCN?
If you would like to obtain CCN marketing materials
or speak to a CCN sales representative, you may
contact us via this website or call us at 1-800-247-2898.
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