Q&A FOR PAYOR CLIENTS

1. What is FPN?
2. Is FPN an insurance company?
3. Is FPN national?
4. What are the advantages of utilizing the FPN network?
5. Can we nominate a provider or facility to added to the FPN network?
6. Does FPN perform any claims-repricing functions?
7. Does FPN accept any applying Provider?
8. If a Provider is having difficulty collecting payment on a claim, will FPN provide assistance to resolve this issue?
9. How does FPN keep us up-to-date on the content of their provider directory?
10. How can I get the most up-to-date FPN Provider Directory?
11. How can I determine what changes have been made to the FPN Provider Directory?
12. How can I learn more about FPN?

 

1. What is FPN?

Fortified Provider Network, Inc. is a Preferred Provider Organization that contracts with physicians, hospitals, ancillary facilities and other health care providers to form a preferred provider network that is accessed and utilized by FPN's payor clients and their members. Per FPN's contractual agreements with its providers, these providers have agreed to furnish their services at discounted rates to the members of FPN's payor clients.

 

2. Is FPN an insurance company?

FPN is neither an insurance company nor a health plan. FPN also does not function as a claims administrator. FPN simply offers the utilization of its network to their payor clients and members, who in turn are able to capitalize on the discounted fee schedules that FPN has negotiated with its Providers.

 

3. Is FPN national?

Yes. FPN has providers in 48 states, representing access to approximately 1.5 million lives across the nation. FPN is not nearly as large as many of the household name preferred provider networks, but is undergoing a major expansion effort nationally and expects to quadruple its provider and payor base during the course of 2003.

 

4. What are the advantages of utilizing the FPN network?

The advantages of utilizing the FPN network are twofold - cost and quality. FPN's providers offer their services at discounted rates, often far below what is normally charged for those services. FPN's providers are also carefully screened to ensure that they meet the high quality standards expected by payors and their members.

 

5. Can we nominate a provider, facility, or group to be added to the FPN network?

Yes, FPN gladly accepts and acts upon all provider nominations that are submitted. These nominations provide an avenue whereby FPN can better meet the needs of its payor clients and their members. FPN's focus is to continually provide the payor and member communities with access to the providers of their choice. The simplest way to nominate a provider or facility is to utilize the "Nominate a Provider", "Nominate a Facility" "Nominate a Group" functionalities contained within this website. These nominations can also be emailed or called into FPN's provider relations department as well.

 

6. Does FPN perform any claims-repricing functions?

Yes, but only on a very limited basis at this time. FPN plans to fully incorporate this service into its menu of offerings during the next 12 months.

 

7. Does FPN accept any applying Provider?

No, FPN will not add a provider to its directory if the provider's qualifications and record do not demonstrate a high standard of care and/or if our credentialing standards are not met.

 

8. If a Provider is having difficulty collecting payment on a claim, will FPN provide assistance to resolve this issue?

Yes, FPN will work diligently with both the provider and payor to resolve any payment issues.

 

9. How does FPN keep us up-to-date on the content of their provider directory?

FPN will send its payor clients a monthly reminder email to download via this website the current FPN directory and recent changes to the FPN Directory. For those payors not comfortable or capable of utilizing these download functions, FPN will send this information upon request either electronically or in hard copy form.

 

10. How can I get the most up-to-date FPN Provider Directory?

The easiest way to get a copy of the current FPN Directory is to download the directory electronically via this website, utilizing the "Download FPN Directory" functionality contained on this website. Payors need a username and password to perform this download. This username and password is provided by FPN and can be retrieved from FPN by emailing or calling FPN's corporate office. Upon request, FPN can send this directory electronically or in hard copy form to its payors.

 

11. How can I determine what changes have been made to the FPN Provider Directory?

The easiest way to determine the changes that have occurred in the FPN directory is to download these changes, utilizing the "Download FPN Directory Changes" functionality contained on this website. Payors need a username and password to perform this download. This username and password is provided by FPN and can be retrieved from FPN by emailing or calling FPN's corporate office. Upon request, FPN can send these changes either electronically or in hard copy form to its payors.

 

12. How can I learn more about FPN?

The best way to learn about FPN is by reviewing this website. However, our staff would be glad to answer any further questions you have via email or upon you calling our corporate office at (480) 607-0222.