Provider networks 11-1-2019

Provider networks

We contract with physicians, dentists, other health care professionals and facilities to form provider networks essential for delivery of health care and dental services to our members. All providers must be credentialed before they can participate in our provider networks.

Participating

The Asuris Northwest Health Participating Network supports commercial lines of business and serves as the default for all other networks. As the default, the participating provider agreement is the baseline for all other provider agreements. All providers must sign a participating agreement before joining any other Asuris Northwest Health provider network.

Preferred

The Asuris Northwest Health Preferred Network supports our preferred products.

Individual and Family

The statewide Individual and Family Network supports our Individual and family products available to residents of Adams, Asotin, Benton, Chelan, Douglas, Franklin, Garfield, Grant, Kittitas, Okanogan and Whitman counties.

Asuris TruAdvantage

Our Asuris TruAdvantage product uses the Asuris TruAdvantage PPO network for in-network services with no referral requirements to access specialty care. Asuris TruAdvantage provides all Part A and B benefits with additional covered services in one plan.

The Asuris TruAdvantage service area includes Chelan and Spokane Counties in Washington.

Asuris Dental

The Asuris Dental Network serves our members enrolled in our participating fee-for service dental products in Washington. Participating dentists and dental professionals are reimbursed according to our maximum allowable reimbursement schedule. Payments are issued directly to dental providers. Remittance statements (which explains payment for services provided to our members) are only available online through the Availity Provider Portal.