POLICY TITLE: Centura Health Financial Assistance Policy

Transcription

1 POLICY TITLE: Centura Health Financial Assistance Policy DEPARTM: Revenue Management CATEGORY: Billing ORIGINATION DATE: 11/01/2016 EFFECTIVE DATE: July 1, 2016 ADDENDUM B COVERED PROVIDERS* (Revised 10/01/2016) *Provider list to be updated quarterly The following professional charges are covered by the Centura FAP. Facility_Desc AAH CHPG HOSPITALISTS ACCESS FAMILY MEDICINE AT PARKER AVISTA FAMILY MEDICINE ERIE AVISTA INTERNAL MEDICINE AVISTA OB CLINIC BELMAR NHC CHPG BOULDER HOLISTIC MED CER BWMH SURGERY CLINIC BWMH ULYSSES FAMILY PRACTICE CASTLE ROCK AFFILIATED CASTLE ROCK HOSPITALISTS CCOM COLORADO SPRINGS CCOM NORTH DENVER CCOM SOUTH DENVER CCOM SOUTH STATE CCOM SOUTHWEST CCOM SUMMIT CER ENDOCRINOLOGY AND DIABETES CHAMBERS SPEC SURGICAL CARE CHATFIELD FAMILY MEDICINE CHATFIELD WOMEN CARE Sub Specialty

2 CHPG CHURCH RANCH AT AVISTA CHPG COLORADO CTR FOR BONE RESEARCH CHPG CRIPPLE CREEK VICTOR MTN CHPG CTR FOR BREAST CARE AVIST CHPG GASTROEROLOGY PAH CHPG HIGH COUNTRY CHPG NEUROLOGY SOUTHWEST CHPG NHC ARVADA CHPG NHC DACONO CHPG NHC GOLDEN CHPG NHC MERIDIAN CHPG NHC ORCHARD CHPG NHC THORNTON CHPG ONCOLOGY AT AVISTA CHPG ONCOLOGY AT SASMC CHPG ORTHOPEDICS PORTER CHPG PHYSICAL MEDICINE AND REHAB CHPG PRIMARY CARE NORTHGLENN CHPG SAH INTERNAL MEDICINE CHPG SENIOR CARE PAH HOLLY CREEK CHPG STM PEDIATRIC HLTH SVCS CHPG WOMENS HLTH AT LAH COLORADO BREAST IMAGING COMPREHENSIVE OBGYN AT PARKER CSSC CURA PT TRI LAKES CSSC COLORADO SPRINGS CSSC NORTH DENVER CSSC SOUTH DENVER Geriatrics Sports Medicine Rheumatology Uro/Gyn Neurosurgery Pain Mgmt Physiatry Geriatrics Radiology

3 CSSC SOUTH STATE CSSC SUMMIT CYPRESS HEMATOLOGY & ONCOLOGY AT PARKER DIMENSIONS PAIN MANAGEM DURANGO NEPHROLOGY ASSOCIATES ENDO DIABETES THYROID SASMC FLATIRONS HEART AND VASCULAR FOUR CORNERS INFECT DISEASES FOUR CORNERS PULMONARY CC MED GRACE FAMILY PRACTICE INTEGRATED OBGYN AT PARKER INTERMOUNTAIN NEURO LAH AFFILIATED PHYSICIANS LAH CLEM FAMILY MEDICINE LAH HIGHLANDS RANCH MEDICAL ASSOCIATES LAH MILE HIGH ONCOLOGY LAH SOUTH QUEBEC FAMILY MEDICINE LUH CHPG CARDIOLOGY LUH CHPG FAM MED BERTHOUD LUH CHPG FAM MED FIRESTONE LUH CHPG FAM MED LYONS LUH CHPG FAM MED NIWOT LUH CHPG GENERAL SURGERY LUH CHPG GI LUH CHPG INTERNAL MEDICINE LUH CHPG OBGYN LUH CHPG TRAVEL MEDICINE MERCY CARDIOLOGY ASSOCIATES MERCY CRITICAL CARE PHYSICIANS MERCY DURANGO CANCER CER MERCY FAM MED BAYFIELD MERCY FAMILY MED HORSE GULCH MERCY FAMILY MEDICINE MERCY HOSPITALIST MERCY ORTHOPEDIC ASSOCIATES MERCY SOUTHWEST ONCOLOGY MERCY SURGICAL ASSOCIATES MERCY UROLOGY SERVICES MRMC CHPG INTERNAL MED CLINIC MRMC CHPG RHEUMATOLOGY SOUTHWEST MRMC ENDOCRINOLOGY SOUTHWEST Pain Mgmt Nephrology Infectious Disease Pulmonology Neurosurgery Infectious Disease Intensivist Urology Rheumatology

4 MRMC GASTROEROLOGY SOUTHWEST NEIGHBORHOOD HLTH CTR HIGHLANDS NORTHWEST GASTROEROLOGY ORTHO CHPG HOSPITALISTS PAH CHPG AT CLERMONT PARK PAH CHPG HOSPITALISTS PARKER BARIATRIC AND METABOLIC CER OF COLORADO PARKER CURA HEALTH AT SOUTHLANDS PARKER ENDOCRINOLOGY CER PARKER PHY GRP PARKER PRIMARY CARE PINNACLE OBGYN PKR CHPG HOSPITALISTS PKR PAIN CLINIC PORTER ARACEA WOMENS CARE PORTER CURA MEDICAL CONSULTANTS PORTER COLORADO HEAD AND NECK SPECIALISTS PORTER COLORADO JOINT REPLACEM PORTER COMPREHENSIVE BREAST CARE PORTER CREEKSIDE FAMILY MEDICINE PORTER CYPRESS ONCOLOGY PORTER PRIMARY CARE HP PRIMARY CARE PHYSICIANS PSF BROADMOOR PRIMARY CARE PSF PHY PRACT PRIMARY CARE PSF PHY PRACT SO COLO BREAST SPECIALISTS PSF PHY PRACT VASCULAR SURGEON PSF PHY PRT MONUM PRIM CARE PSF PHY PRT PEN BEHAVIORAL HLT PSF PRT CHPG PEDIATRIC HEALTH RIDGEGATE OB/GYN RIDGELINE FAM MED CASTLE PINES RIDGELINE FAM MED MEADOWS SAH ASPEN RIDGE SAH CHPG HOSPITALISTS SAH ENDO DIABETES THYROID SPECIALISTS SAH NEURO SPECIALTY ASSOCIATES SAHC ASSOCIATED SURGEONS SAHC EVERGREEN CLINIC Geriatrics Bariatric Surgery Pain Mgmt Gynecology Head and Neck Surgery Vascular Surgery

5 SAINT MARY CORWIN GASTROEROLOGY SAINT MARY CORWIN REHAB PHYS KEDLAYA SAINT MARY CORWIN RESIDENCY CLINIC PROGRAM SAINT MARY CORWIN TOUCHSTONE HEALTH SAN FAMILY PRACTICE SANHC CHPG HOSPITALISTS SASMC ASPEN RIDGE SASMC CHAMBERS SPEC SURG CARE SCH FAMILY PRACTICE CLINIC SCH GENERAL SURGERY CLINIC SCH HEALTH CER SCH HEART CER SCH INTERNAL MEDICINE CLINIC SCH NEPHROLOGY CLINIC SCH NEUROLOGY SCH OCCUPATIONAL MEDICINE CLINIC SCH ORTHOPEDICS SCH PEDIATRIC CLINIC SCH PODIATRIST CLINIC SCH PODIATRY DC SCH WALK IN SCH WOMENS CLINIC SCH WOUND CARE SMC ANESTHESIA SMC CHPG HOSPITALISTS SMC PHY PARTNERS ORTHO SURG SMC PHYS GRP VASCULAR SURGERY SMC RKY MTN SPORTS AND FAMILY MEDICINE AT CURA SOUTH DENVER NEUROSURGERY SOUTH SUBURBAN INTERNAL MED SOUTHWEST COLORADO ANESTHESIA STM ANESTHESIA STM CLINIC STM PHYS GRP GEN SURGERY STM PHYS GRP INTERNAL MEDICINE STM PHYS GRP OB STM PHYS GRP ORTHO SURGERY STM PHYS GRP PCMH FAM PRACT STM URG CARE CLINIC SUMMIT CARDIOLOGY TIMBERVIEW CLINIC Physiatry Nephrology Podiatry Podiatry Urgent Care Anesthesiology Vascular Surgery Neurosurgery Anesthesiology Anesthesiology Urgent Care

6 TOUCHSTONE PUEBLO WEST CLINIC