Community Health Network

Ranked among the nation's most integrated healthcare systems, Community Health Network is Central Indiana's leader in providing convenient access to exceptional healthcare services, where and when patients need them—in hospitals, health pavilions, workplaces, schools and homes.

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Community ProHealth

Provider relations

Contact provider relations

Phone: 317-621-7581
Fax: 317-621-7470

Name

Title

E-mail

Judy Director E-mail Judy
Carol T. Provider enrollment and credentialing manager E-mail Carol
Salena Manager of Medicaid services E-mail Salena
Carol B. Provider relations coordinator E-mail Carol
Hollie Provider relations coordinator E-mail Hollie
Jenny Credentialing and contracting E-mail Jenny
Kim T. Credentialing and contracting E-mail Kim
Carmela Credentialing coordinator E-mail Carmela
Sue Recredentialing E-mail Sue
Denise Behavioral care services credentialing E-mail Denise

Provider forms and information

About ProHealth Network

ProHealth Provider Manual 2014

Download manual >>

Print and fill out the following forms and submit them to our office:

Provider directories

HealthReward

(Marion, Boone, Hancock, Madison, Hamilton, Hendricks, Johnson, Tipton, Howard, Shelby, Morgan Counties *Determined by county of subscriber residence)

Providers not listed in the above directories are Tier 3.

HealthReward

(Not Marion, Boone, Hancock, Madison, Hamilton, Hendricks, Johnson, Tipton, Howard, Shelby, Morgan Counties *Determined by county of subscriber residence)

Providers not listed in the above directories are Tier 3.

HealthChoice

(Marion, Boone, Hancock, Madison, Hamilton, Hendricks, Johnson, Tipton, Howard, Shelby, Morgan Counties *Determined by county of subscriber residence)

Providers not listed in the above directories are Tier 3.

HealthChoice

(Not Marion, Boone, Hancock, Madison, Hamilton, Hendricks, Johnson, Tipton, Howard, Shelby, Morgan Counties *Determined by county of subscriber residence)

Providers not listed in the above directories are Tier 3.

ADVANTAGE Health Solutions HMO & POS

ADVANTAGE Preferred Network HMO (Medicare)

Pharmacy

Fee schedule information

Provider newsletters

2014

Jan | Feb | March

2013

Jan | Feb | March | April | May | June| July | August | Sept | Oct | Nov | Dec

2012

Jan | Feb | Feb/MarchApril | May | June | July/August | Sept | Oct | Nov | Dec

2011

Jan | Feb | March | April | May | June | July | Sept (Vol I / Vol II) | Oct | Nov | Dec (Vol I / Vol II)

2010

Jan | Feb | March | April | May | June | July | Sept (Vol I / Vol II) | Oct | Dec (Vol I: Medicaid special edition / Vol II)

2009

June (Vol I / Vol II)| July | Aug | Sept | Oct | Nov | Dec

Payer information

Please note: Not all ProHealth providers participate in all plans.

Credentialing information

To become a participating provider with Indiana ProHealth Network you must have a completed and up-to-date CAQH application. If you would like ProHealth to obtain this application for you, please complete the CAQH Provider Data Sheet. Otherwise, please see the CAQH website for additional information at www.caqh.org.

Credentialing requirements checklist:

Electronic COB information acceptance

ProHealth is accepting Other Payer Primary COB information within your electronic claims. Please submit Primary Other Payer processing information using HIPAA-standard codes and amounts at the line-item detail level within your electronic claim files. Electronically submitted Primary COB information is processed at initial adjudication, and eliminates secondary paper claim and paper primary EOB submission requirements when ProHealth is the secondary payer.

EFT/835 enrollment

ProHealth is accepting EFT/835 enrollment. Please submit the completed 835/EFT enrollment form to Michele Dowd at 317-355-6084 (fax) or mdowd@ecommunity.com.

Download: EFT/835 Enrollment form

Proud sponsors

  • Indiana Fever
  • Indianapolis Indians
  • Indiana Pacers
  • Sarah Fisher Hartman Racing
  • Indy Eleven

Health and wellness shopping

  • Home Health Medical online store for medical supplies and equipment
  • Wellspring Pharmacy
  • FigLeaf Boutique
  • Jasmine gift shop