Frequently Asked Questions
Our mission and services are designed to serve our members directly. We do not make decisions based on the profitability of the network. Instead, our decisions are guided by offering the greatest opportunities for success to our members.
At CPAN, our fees are structured based on a per admission utilization. CPAN provides a billing summary to support quarterly invoices to our providers.
All new providers must complete the credentialing process to be loaded onto our network managed care contracts. The credentialing process can take up to 90 days unless it’s with a payor we are delegated for credentialing. Our delegated contracts will allow you to move onto the contracts within 30 days or less based on the time of the month that you enter the network.
CPAN facilitates the pre-cert authorizations for Part A services only. Our contracts cover Part B services but the provider is responsible for obtaining authorization for Part B services.
CPAN doesn’t provide billing services for the providers. CPAN does provide billing templates with the information needed for the provider to create and submit their claims to the payor directly. The providers will receive their payments directly from the payor.
CPAN’s case management services include facilitating the initial pre-cert authorization and the continuing skilled authorization. CPAN works collaboratively with our skilled nursing facilities to efficiently complete these services on behalf of the providers.