You have questions . . . we have answers. Browse through some of our most commonly asked questions or contact us for additional information.
What is your payer ID number for claims submission?
PHP's ID number is 12399. Please see the HIPAA section of our site for further information regarding electronic claim submission.
How long does the credentialing process take?
The time to credential varies based upon the completeness of the application and the return of all required documentation to our Credentialing Coordinator.
How do I obtain reimbursement for a specific CPT code?
PHP provides each contracted provider fee schedule information for their top 10 codes. To obtain the reimbursement simply provide PHP with a list of CPT codes along with the billed. Your request can either be faxed to Provider Services at (260) 432-0493, or emailed to us at providerservices@phpni.com.
How do I notify PHP of demographic changes and/or provider terminations?
Simply complete the Provider Change Form.
How do I add a new provider to our provider group agreement?
To add a physician to a contract, PHP requires the completion of the Provider Participation Application.
Do you utilize CAQH for provider credentialing?
PHP does utilize CAQH for credentialing. The Provider Participation Form gave you the option to use the CAQH database or submit a paper application.
Do you contract for ancillary healthcare providers such as Nurse Practitioners, Nurses, Physicians Assistants, and Certified Registered Nurse Anesthetists?
PHP does contract for ancillary healthcare providers if they are employed by a provider practice currently contracted with PHP. We do not contract directly with these providers.
When we say we're here to help, we really mean it. PHP is a no-robot zone – that means when you contact us, someone from our Indiana office will be ready and happy to assist you.
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