Network Providers
With a benefits plan from Incentive Health, you will have access to over 35,000 providers.
Primary network
Our proprietary network Incentive Health Network in California consists of more than 6,000 hand-picked providers that are a part of our new business model. These directly-contracted providers consist primarily of local, community-based hospitals, physicians and ancillary care providers.
Our primary providers offer efficient, integrated medical care that saves you money on your self-funded benefits plan.
In our system, their performance is constantly monitored in order to deliver the right care, at the right time, from the right doctor, with no wasted effort or duplication of costs. Integrated care is built into our system. When your employees choose a Primary Care Physician from our IPN, everyone saves money.
If requested, Incentive Health will work with your broker to devise a narrower EPO network in your specific geographic area in the Central Valley or in parts of Northern California.
Secondary network
California Foundation for Medical Care Professional Network (CFMC). CFMC is a unique partnership of 11 individual foundations that together cover the entire state, from Humboldt County to San Diego County. CFMC includes more than 30,000 professional and ancillary providers.
Nation-wide wrap network
Upon request, we can include a nation-wide wrap network that provides nationwide coverage for when your people need care while away from home.
Other Key Partnerships And Affiliations
HealthEdge Administrators
Incentive Health uses a third-party administration company to meticulously administer every plan that we write. HealthEdge Administrators has been a trusted resource since 2005. Their skilled team of account managers, planners, claims specialists and customer service reps allow Incentive Health to provide superior benefits at a reasonable rate.
In addition, HealthEdge Administrators partners with well-vetted industry leaders for case management/utilization review, pharmacy benefit management and stop loss insurance.
WHY HEALTH EDGE?
Customer Service
Average Speed of Answer:
30 sec
First Call Resolution:
92%
Average Hold Time:
58 sec
Abandoned Call Rate:
3.32%
Claims Adjudication
Claims Processing:
10 day
Turn Around Time:
96%
Financial Accuracy:
99.5%
Overall Processing Accuracy:
99.20%
