How We Work With Service Providers

Progressive Care Network is a provider network specifically designed to service managed care contracts. The Network has been extremely sucessful in meeting the specific needs of its referring insurance case managers, discharge planners, and physicians. We are unique in that all of the providers are trained to provide services according to a managed care model. Our clients have services ranging from skilled nursing and therapy to nationwide DME and infusion needs. The need for home health services continues to grow and we will make every attempt to keep inpatient hospital stays to a minimum by working to prevent recurrent hospitalizations. Our patient home care services include, but are not limited to, the coordination of skilled services, hospice services, medical equipment, and infusion needs for patients in the home.

As a group of dedicated and talented professionals, we work in our community to deliver infusion and home care services of the highest quality. We work as a team with a shared commitment to deliver patient centered care. Our services are delivered with excellent problem solving and clinical skills. As a member of the local health care community, we seek collaborative partnerships with physicians, facilities, case managers, vendors and other home care agencies. Effective, timely, and honest communication are the hallmark of our company. With respect for the value of human and material resources, we seek to deliver our services in the most cost effective, professional manner possible.

Contracting

PCN contract packets are available through the network director. All contracted providers are required to present and maintain all professional credentials. These credentials will be verified and kept on file by the provider services department. A signed contract and application form as well as liability insurance will also be required. The review and approval process will be completed within 60 days of receiving the completed contract.

Each provider must be fully credentialed prior to providing goods or services to the patient. Providers rendering services prior to credentialing may not be reimbursed for the service provided. Emergent care should never be withheld pending contract approval.

The following information should be included with your application:

  • The organization's state license to provide health services (if applicable).
  • The organization's professional and comprehensive general liability insurance certificate.
  • JCAHO/AAAHC or applicable accrediting body certificate (if applicable).
  • If not accredited, a copy of the last annual state survey and corrective action plan (if applicable).
  • Copy of W-9.
  • Listing of insurance contracts (Anthem, Aetna, etc...).
  • NPI Number (national provider number).
  • Tax ID number (TID).
  • Medicare number (if applicable).
  • Medicaid number (if applicable).
  • Date of incorporation.
  • Corporate contracts.
  • Documentation for all locations.
  • Individual branch contract.
  • Policy and procedures for QI program.