New Patient Registration Form
No Surprise Act
Uninsured GFE Notice (Disclosure)
Balance Billing RIghts and
Protections Disclosure (Arizona-Based)
Uninsured GFE Notice (Disclosure)
Balance Billing RIghts and
Protections Disclosure (Arizona-Based)
ACN Networks- Aetna, Aetna Whole Health, Bright Health Plans, Intel Connected Care, UHS, UMR
Aetna– Commercial, HMO, PPO and Medicare PPO
Arizona Foundation for Medical Care (AFMC) Network
Banner Aetna- Multi Tier Only
BCBS- HMO, EPO, PPO, FEP, MCR, Indemnity, Medicare Supplement
BCBS Advantage Honor Health- Not contracted with Neighborhood Network
Cigna- Commerical, HMO, PPO, Open Access Plus , Local Plus-Honor Health
Coventry/First Health- Workman’s Comp
Honor Health Plans- Innovative Care Partners-Narrow Network
Medicare/ Railroad Medicare
Multiplan/PHCS- PrivateHealthCareSytems/AMN Network
United Healthcare- Commercial, HMO, PPO, Choice Plus, Medicare PPO (with Out of Network benefits only)
Tricare- Tricare Prime, Tricare for Life, HealthNet Federal
UMR- BCBS and UHC Network
Workman’s Compensation
Veterans Choice/Patient-Centered Community Care (VA-PC3 &VCP)
Aetna Medicare Replacement HMO
Cigna Health Springs HMO- Medicare Replacement
Optum Care Network- UHC AARP
Humana- All Plans
Health Net- Commercial, Medicare
Banner Health Network
All Medicaid Plans including AHCCCS- Primary or Secondary