Client FAQs
Following are the most common questions we receive about ChoiceCare Network from clients and prospective clients. If you have a question that isn’t addressed here, feel free to Contact Us
ChoiceCare Network
Is the ChoiceCare Network nationally recognized?
ChoiceCare Network's commitment to maintaining access to quality providers is recognized by URAC, a leading accreditation organization for the health care industry. ChoiceCare is fully accredited with URAC for Health Network and Credentialing.
What can I do if a key provider - for instance, a doctor or hospital - does not participate in ChoiceCare Network?
If you've searched the ChoiceCare Physician Finder Plus and can't find a specific provider, you can nominate a doctor or hospital for addition to our network by completing the online Provider Nomination Form or Facility Nomination Form.
Our contracting team will evaluate your request to determine whether our adding the nominated provider would impinge upon existing contractual relationships with in-network providers. If no conflict of interest exists, we will contact the nominated provider on your behalf and mail the provider a network participation agreement.
ChoiceCare Network cannot guarantee that nominated providers will agree to participate in the network or that nominated providers will meet other network participation requirements - e.g., credentialing.
What repricing options does ChoiceCare offer?
ChoiceCare Network offers flexible claims repricing solutions including EDI and web repricing to meet clients' needs.
How can Self-Funded Employer Groups or TPAs get more information about leasing the ChoiceCare Network?
Contact a network consultant at chcnetwork@humana.com or 502-580-4107.
If my employees access the ChoiceCare Network, do they also have access to the National Transplant Network?
No. The ChoiceCare Network and the National Transplant Network are offered separately. Refer to your benefit administrator to understand your transplant benefits.
National Transplant Network
What is the National Transplant Network?
The National Transplant Network is a network of facilities with transplant programs that are available to provide members with transplant services
What types of transplants does the National Transplant Network offer?
National Transplant Network offers services for all covered solid organ transplants and stem cell transplants.
How does the National Transplant Network select the facilities in its transplant network?
We review programs based on quality statistics that are publicly available and reflect the most important aspects of transplant care: patient outcomes, volumes and wait times. For information about National Transplant Network selection criteria view Guidelines for Transplant Programs.
Who determines which facility within the National Transplant Network a member will use?
The member and their doctor will select which National Transplant Network program is most appropriate for them.
What repricing options does the National Transplant Network offer?
The National Transplant Network has dedicated specially trained staff to handle claims repricing quickly and efficiently.
If my employees access the National Transplant Network, do they also have access to the ChoiceCare Network?
No. The ChoiceCare Network and the National Transplant Network are offered separately. Refer to your benefit administrator to determine your specific network for general medical benefits.
How can Self-Funded Employer Groups or TPAs get more information about leasing the National Transplant Network?
Contact a network consultant at chcnetwork@humana.com or 502-580-4107
