• Access to millions of cash-paying or insured patients
• Free continuing education
• Ability to self-select into payer contracts of your choice
• Electronic claims submission software at no cost to you
• Access to proprietary clinical expertise, best practices, and clinical pathways
• Advocacy at the local, state and federal levels

We manage millions of lives and each patient can select their own provider from our network. In addition, CHP promotes your services through our marketing materials and the provider directory on this website.

Yes, our staff is continually working to develop business with health plans, employer groups, and various types of associations.

We generally contract with commercial health plans and insurance companies. We also work directly with large employer groups. These contracts allow members direct access to CHP network providers with various benefit designs. We also participate in certain Medicare and Medicaid programs.

CHP is currently expanding our provider network throughout the West. If you have questions regarding your specific location, please contact us at join@chpgroup.com or 800-449-9479 x501.

We meet regularly with local, state, and federal representatives in order to promote the benefits of integrative healthcare (IH). We also provide public comment and testimony related to IH in healthcare reform whenever the opportunity is present.

In order to provide you the greatest value for your participation on our network, we make sure it is of an appropriate size to bring patients to your practice. That may mean limiting the size in some areas. That’s why we encourage you to secure your place on our network early.

You can request a CHP application by any of the following:

• Fill out our Application Request Form
• E-mail us at join@chpgroup.com
• Call us at 503-203-8333 or 800-449-9479 x501

Once you receive the application and return it to us, we proceed through a credentialing process which is compliant with the standards set by the National Committee for Quality Assurance (NCQA).

Depending upon your location, the credentialing process includes an initial credentialing application and may include submission of clinical records or other documents. For specific information about credentialing, please contact us by one of the following:

• E-mail us at join@chpgroup.com
• Call us at 503-203-8333 or 800-449-9479 x501

It’s quick! The application process generally takes 30-45 days from beginning to end. If you have already submitted an application and want to check the status, please contact us via e-mail at providers@chpgroup.com or call our Provider Services Department at 800-449-9479.

There are no administrative fees, per claim fees, or other charges for participation with CHP.

Each fee schedule is determined by the health plan (or other payer) with limited input from The CHP Group. We advocate for providers and collaborate with payers to negotiate fee schedules that reflect professional level reimbursement rates. Providers are offered the opportunity to self-select into payer contracts.

CHP takes a collaborative approach to care management. We rely on our provider committee members to develop policies and resources around how to manage care and identify best practices. CHP prefers to leave treatment decisions in the hands of the provider and their patients. We primarily rely on achieving accountability through sharing objective and actionable information with you about your practice obtained from submitted claims data. And while we prefer to manage care with the provider, we will sometimes have payer contracts that require prior authorizations.

CHP advocates for direct access to integrative healthcare providers. Most of our patients go directly to their provider of choice without the need for a primary care provider (PCP) referral. We believe that this is the most efficient way for patients to access care. CHP also provides access to PCP-referred patients in certain contracts.

The value we bring to our payer partners is the high-quality providers in our network. To demonstrate this quality, we adhere to the standards set by the National Committee for Quality Assurance (NCQA) for re-credentailing every three years. To comply with this standard, we will contact you for re-credentialing. Because we will already have much of your information on file, the process is quick and easy!

Please contact our Provider Services Department by any of the following:

• E-mail at ps@chpgroup.com
• Phone at 503-203-8333 or 800-449-9479
• By fax at 877-482-2856

Yes. CHP is currently contracted with Office Ally and HealthSmart.

Yes, CHP offers direct deposit to all our network providers.

While naturopathic physicians are not included in standard Medicare as administered directly by the Centers for Medicare and Medicaid Services (CMS), Medicare Advantage (MA) plans are administered by health plans. These plans include standard Medicare benefits such as primary care visits and hospitals stays and very often include additional member-valued benefits such as integrative healthcare visits – including naturopathic physicians.

Being part of a Medicare Advantage plan can bring new patients to your office and allow you to see current patients with a covered benefit as they age into Medicare-eligibility. Census.gov estimates that the 2020 US Census will show the “baby boomer” generation to include 73 million people. As this generation continues to age into Medicare-eligibility, many of them want to continue seeing their naturopathic physician as a covered benefit.

Each health plan determines their own fee schedule for Medicare Advantage plans. Most often, these are based on the CMS Physician Fee Schedule, which CMS provides regularly.

Generally, billing for a Medicare Advantage member is the same as billing for standard health plan member. Most health plans accept electronic claims and have a staff on-hand to assist with your billing questions.

Some health plans who offer Medicare Advantages plans require contracted providers to complete standardized Fraud, Waste, and Abuse training. CHP can assist providers with the resources required to complete this training.

Participating in a Medicare Advantage contract is largely consistent with providing healthcare services under other provider contracts. Providers are subject to the contractual and regulatory requirements of the health plan.