OUR FULLY CREDENTIALED NETWORK OF PPO PROVIDERS ARE SPECIALISTS IN AUTO (PIP) AND WORKERS’ COMPENSATION
A Division of Medlogix, CHN PPO is a leading preferred provider organization based in northeastern United States with a premier, fully-credentialed network of over 227,000 health care providers.
The cornerstone of our network is our top-quality health care providers highly skilled in diagnosing and treating automobile and workplace injuries. Our participating provider agreements cover the Auto (PIP), Workers’ Compensation, and Group Health.
CHN PPO is an alternative to outdated, outsourced, and disconnected PPO networks. We bring everything in-house, stay close to our providers, reduce costs, and integrate every part of the claims process.
National carriers trust CHN PPO for our committed staff, customizable services, and flexible network configurations that provide seamless access nationwide.
- Seamless integration with our MyMedlogix software
- In-house credentialing process adhering to strict URAC and NCQA standards, including primary source verification of Licensures, Accreditations , Board Certification, Fellowship training, or any additional certifications
- Ensure patient receives the appropriate treatment in the right setting
- Seasoned Provider Relations team, with an average tenure of 17 years and leadership boasting 28 years of experience
- Strong provider network relationships and partnerships.
- Detailed reporting to track utilization trends
- A dedicated Data Integrity Team maintains provider records, including NPI, TIN, and fee schedule data.
CHN partners with other regional and national networks to offer our customers a seamless coast to coast PPO network.
Through our direct network contracts and our national network of PPO affiliates, CHN delivers a competitive edge to the clients we serve. CHN and our PPO network partners maintain the appropriate credentials and compliance in all states.
- CHN PPO providers are credentialed and monitored specifically for PIP and Workers’ Compensation expertise.
- Strong direct provider relationships improve speed, outcomes, and documentation for Workers’ Comp claims.
- The CHN PPO Network includes specialists in workplace injury treatment across multiple facility types (hospitals, rehab centers, chiropractors, etc.).
- Tailored state-by-state network configurations based on utilization and analytics.
CHN PPO providers are highly skilled in diagnosing and treating auto liability injuries, with specialized PIP expertise.
CHN PPO handles Auto Liability (PIP) claims from first report to final payment, with end-to-end internal processing—no outsourcing. CHN supports the entire PIP claims journey.
- Assistance in locating appropriate providers for the care needed
- Bill review
- EDI Connectivity
- PPO rate application
- Telephonic and Field Case management
CHN PPO serves as your medical claims management, managed care, and PPO partner, guiding each Workers Compensation case from First Report of Injury to optimal MMI and RTW outcomes.
We offer employers an integrated proactive approach to effectively managing work-related injuries and help control escalating medical and indemnity costs for Workers Compensation.
Progress is tracked on nurse medical case management, case status, provider billing, and RTW status. Automatic alerts are issued for a change in work status, compensability, and more.
Users receive individual secure logins so adjusters and case managers have access to all file activity in real-time.
CHN and Medlogix offer Out of Network Medical Bill Negotiation Services for First and Third Party Auto lines of business.
- Negotiators utilize:
- UCR, Medicare, and State Fee Schedule benchmarks
- Utilization history
- In-network PPO contract comparisons
- Signed Letters of Acceptance (LOAs) are obtained for each negotiated bill.
- All negotiation outcomes and signed LOA is stored in MyMedlogix for tracking and transparency.
