The Quick Reference Guide enables CHN member organization staff, provider offices and ancillary and facility providers to get fast and easy access to CHN-contracted payor information. The guide contains the following information:
 |
Current payors |
|
Participating hospitals |
|
Contact information for member services, claims, and medical management departments at the various payors |
CHN Non-Risk Contracts
A non-risk contract is a contract in which the payor is responsible for the health care costs of members enrolled in their health plan. In CHN non-risk contracts, the credentialing function is the only delegated activity to CHN MCO by the payor.
CHN Shared Risk Contracts
When a managed care organization such as CHN MCO is at "shared risk," it means that the organization accepts responsibility for the financial responsibility and rewards involved in the cost for effectively caring for members enrolled in a health plan.
