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The Advantage Chiropractic Network is a not-for-profit Independent
Practice Association (IPA) of chiropractic physicians. Advantage
provides representation for its members with insurers, self-insured
employers, and third-party administrators.
Advantage is a special
benefit to members of the Iowa Chiropractic Society in that it
provides a consistent and effective way for them to reach the
managed care marketplace. Many insurers, PPO, and HMO organizations
contract through Advantage to utilize the highly qualified panel of
chiropractic physicians who are members of Advantage.
Mission The mission of the Advantage Chiropractic Network is to provide its
member chiropractic physicians with a highly effective way to reach
the managed care market place. Advantage provides its members with:
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The strength of one voice speaking for
chiropractic with payors to mediate contract language, communicate
your individual payment requirements, and explore risk and reward
arrangements.
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Expert advice on payment contract
including the evaluation of payor contracts and payment comparisons
among various payors.
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Reduction in the hassle of payor
contracts by providing a one-time credentialing process for many
payors and Advantage support when you have a problem with a payor.
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Free continuing education via the annual
Advantage Seminar and continuous information through Advantage
News, Advantage Reports, and the Advantage website.
Vision The Advantage Chiropractic Network will be the premier IPA serving
chiropractic physicians by offering payors and employers the most
convenient and effective way to offer access to high quality
chiropractic care to their enrollees.
Frequently
Asked Questions About Advantage Membership
Q: Why should I be a member of Advantage as opposed to other IPA's in
Iowa? A: Advantage is a not-for-profit run by member doctors who are looking
out for your best interest.
Q: What contracts do you have? A: CCN, First Choice of the Midwest, First Health, Galaxy Health
Network, Iowa Health Solutions for the hawk-i program, Midlands Choice, North
Iowa PHO, Select Benefits Administrators, Sioux Valley Health Plan and
Sioux Valley Health Plan Medicare Addendum. Advantage gives you the
opportunity to review each contract summary and accept or reject the
contract, it's up to you.
Q: What do I have to do to become a member? A: If you are not a member of the Iowa Chiropractic Society, you must
join. You next complete an application and send all the supporting
documents indicated. We will then verify your credentials, which takes
about 45 working days. Once your credentials are verified, we will hold
a Credentials Committee meeting. Once the Credentials Committee has
approved your credentials you are a full-fledged member of Advantage.
Q: How much does it cost? A: There are currently 2 membership options. Both options include a
one-time $100 credentialing fee.
1). Pay an annual assessment fee of currently $350.00 plus a 5%
administrative fee on the billed or allowed amount, whichever is less,
on any payments you receive from the contracts you accept through
Advantage. 2). Pay an annual assessment fee of $100.00 for one contract only plus a
5% administrative fee on the billed or allowed amount, whichever is
less, on any payments you receive from the contracts you accept through
Advantage.
Q: How long does the application process take? A: Anywhere from 50-60 days. Once your application is received it is
reviewed for accuracy and completion and sent to Advantage's contracted
Credentialing Verification Organization (CVO). The CVO contacts your
chiropractic college, Board of Examiners, insurance agency, and others
to verify the information in your file is correct. This generally takes
about 45 days. When Advantage receives your verified credentials, they
are reviewed by staff and copies are forwarded to the Advantage
Credentials Committee. The Committee reviews your file and meets via
conference call to accept your credentials. Once your credentials are
accepted, you are an Advantage Member. Staff will then send you contract
summaries to review. You may accept or reject individual contracts
according to your preference, not ours.
Q: Can I expedite the application process? A: Yes, for an additional $50.00 your credentials verification may be
completed in 30 days.
Q: What exactly does Advantage have to offer me? A: Better fee schedules, better payor contracts, a liaison between you
and the payor provided by Advantage, expert advice from our contracted
insurance consultant and retained legal counsel, and much more.
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Want
More Information? |
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Contact Janean Carey
Phone: 800/475-6178, Ext. 106
Fax: 515/963-9361
E-mail:
jcarey@iowadcs.org
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