PPO OKLAHOMA, CCN, HCVM, FIRST HEALTH PPO NAME CHANGE

Date:   01/07/2007

Effective January 1, 2007 PPO/TPA plans known as CCN, PPO Oklahoma, HCVM and First Health PPO will now be known as First Health Network. These claims will be submitted to one Payer ID of 73159 (which is/was the PPO OK payer id). Payer id 33005 (known as CCN) will eventually be cancelled

Provider Action:

To ensure your claims are routed correctly we ask that you send the Electronic Payer ID in front of the carrier name. (See example listed below)

73159 First Health Network
Address
City, State Zip

If claims are submitted to the wrong Payer ID you will receive a message back from the carrier-SS #/Emp # not found. More detailed information about the First Health Network consolidation project can be found at www.coventrynational.com

For questions or concerns please contact Infinedi Customer Service at 800-688-8087.