In-Network Insurance
All patients are encouraged to verify their benefits with their plan administrator. For the most accurate and up-to-date information please contact your insurance carrier (refer to your insurance membership card for contact information) or human resource department to see if Springfield Clinic providers are considered “in-network” for your plan.
| Provider |
Plan Type |
| Aetna |
PPO & POS |
| Blue Cross/Blue Shield |
PPO & Blue Choice |
| CIGNA |
PPO & Gated PPO |
| Consociate Care |
PPO |
| Coventry Health Care / First Health Network |
Platinum PPO |
| Eye Associates Network |
Vision Plan |
| Health Alliance |
HMO, PPO, POS, Connect-Medicaid, Custom Choice, Medicare HMO, Medicare PPO and Medicare Supplement |
| Healthlink |
PPO & Open Access Tier I |
| HFN |
PPO |
| Humana |
PPO, Choice Care, Medicare Advatange |
| MultiPlan |
PPO (Primary and Complementary* PPO participants)
* The United Healthcare Shared Savings program is an example. Members are considered out-of-network and receive out-of-network benefits, but due to the Clinic's contract with MultiPlan, members receive a discount on their balance due. |
| Private Healthcare Systems (PHCS) |
PPO |
| Medication Assistance Program |
|
| United Healthcare |
PPO |
Managed Care at Springfield Clinic
The Managed Care Department at Springfield Clinic provides the interface between health insurance companies, Springfield Clinic's network of providers and our patients.
Our primary role is to manage the in-network insurance contracts for the organization and to make certain all providers are enrolled properly. As part of that process, we manage all provider credentialing, including the confirmation of education, training and certifications. Our staff provides rigorous scrutiny of provider documents to ensure the highest level of quality and accuracy of physician information. We collaborate with Springfield Clinic's Quality Management Department to verify appropriate continuing medical education and training is completed as prescribed. We are responsible for coordinating all appropriate licenses required by regulatory and governmental agencies and arrange for privileges at numerous hospitals throughout the central Illinois area.
While many of these services may focus on service to physicians and the medical community, we ultimately serve Springfield Clinic patients, by ensuring quality and safety of care that comes from thorough and accurate credentialing processes.
Looking for a National Provider Identifier (NPI) number?
Please contact our Managed Care Department or visit the national registry.