PHS Premera
The network PHS Premera members need to use while in Oregon to receive in-network benefits.
What is BCBS (the local blue)?
Name three groups who use the FCHN network for in-network benefits while in Washington.
What is Clackamas County, CollegeNET, Columbia Sportswear, Intel, OFC, SAIF, School District Trust or Umpqua?
The main network St. Joseph members use in California.
What is Anthem?
The name of the network PEBB ProvChoice members use for in-network benefits in Oregon
What is ProvChoice?
Our primary network in Oregon and SW Washington
What is the Signature (EPO) network?
Where we search to find out if providers are participating with the PHS Premera plans.
What is the PHP Provider Directory?
The name of the network member 113184020-00 uses in Montana for in-network benefits?
What is FCHN?
The name of the network member 112852898-00 needs to use to receive in-network benefits in Oregon.
What is INTELCONNECT?
The name of the extra network PEBB Statewide and SAIF members are able to use for in-network benefits in Oregon.
What is the OHSU network?
The tier with the highest rate of reimbursement for PHS OR members.
What is Tier 1?
Name of the network Dr. Zachary Chipman needs to be participating with for member 112961196-00 to receive in-network benefits.
*BONUS* Is he?
What is the BCBS (local blue) network?
*BONUS* (bragging points) Yes!
Name of the network Dr. Zachary Chipman needs to be participating with for member 100217905-00 to receive in-network benefits.
*BONUS* Is he?
What is the PHCS/Multiplan network?
*BONUS* (bragging points) Yes!
The number of benefit tiers on a St. Joseph Northern California PPO plan.
What is three? Tier 1, Tier 2 and Tier 3.
Use member 100696921-00. The network in Facets used to determine if Dr. Leila Keeler in Hermiston, OR is participating for this member's plan.
What is the PPONOEPO network?
For member 100191020-00, claims from provider Thomas Day in Portland, OR would pay at this benefit tier.
What is Tier 3 or Out of Network?
For member 100905702-00, the name of the participating, tier 1, female family medicine doctor closest to their home.
*BONUS* What is the name of the network?
Who is Sarah A Murphy?
*BONUS* (bragging points) Premera BCBS
Name of the plan type for member 100101439-00 and the reason a claim would deny if this member went to an out of network provider.
What is a personal option plan and no out of network benefits?
Using member 112953543-00, the network ID name used to verify whether or not this member can see Dr. Heather Davidson on Cornell Rd. for in-network benefits?
What is the INTELCONNECT network?
The benefit level a PEBB ProvChoice member receives when they use a Premera BCBS contracted provider in Northern Idaho.
What is out of network?
For member 100145590-00, what network(s) of providers would the member need to use to receive Tier 2, in-plan benefits in zip code 83318?
What are Brightpath and/or PHCS/Multiplan?
The name of the grid listing the Facets Network ID's for Non-Preferred providers.
(Hint - the name of the tab on the grid showing this information is "Definitions and Information")
What is the 2018 PSJH Provider Tier Detail grid?
What we call the group of other carriers' networks we rent outside of Oregon and SW Washington.
What are the National Networks?
The tier that claims will pay at for Dr. Thomas Blair and Dr. Anita York located in Orange, CA for a member on the St. Joseph Flex HSA Orange County plan.
What is Tier 1?
The name of the network PEBB ProvChoice members can use in Montana to avoid balance billing.
What is PHCS/Multiplan?
Two services that have the same benefit regardless if member 100191020 00uses a Tier 1 or Tier 2 provider.
What is Preventive, Diagnostic (xray/lab), DME, Skilled Nursing, Emergency Transport, Chiro/Acup or Home Health services?