Clinical
Advanced Health Systems (MS State Employees)
Aetna Better Health – KY, LA, MO, IL (formerly Illinicare)
Aetna Health Plans (All Products)
Ambetter – AR, TX – all products
Ambetter – MHS IN Exchange
America’s Choice Provider Network
Amerigroup Community Care – GA, TN
Anthem – MDIN MCO HIP AND HHW &WC
Anthem – MDKY MCO
Arkansas Total Care
Baptist Health Plan f/k/a BlueGrass Family Health
BeechStreet
Blue Advantage
BlueCare & TennCare Select – TennCare
BlueCross BlueShield: AL, AR, GA, IL, IN, KC, KS, KY, LA, MO, MS, NC, OH, SC, TN, TX, VA, WI
BlueCross BlueShield TX – Essentials/Health Select
BlueCross BlueShield TX Medicaid Star
BlueCross Community Health Plans – IL
CareSource – GA – Mediciaid
CareSource – IN – Medicare/Medicaid/Exchange
CareSource – KY – Medicare/Exchange
Carolina Complete Health – NC- Medicaid
Center Care
CHA Health
Champus
ChoiceCare PPO
CIGNA HealthCare (All States, All Products, including Connect)
Community Health Choice
Cook Childrens Health Plan
Corvel / CorCare
Coventry Healthcare – all states
Cumberland Healthcare (CHI) – KY
Department of Mental Health & Substance Abuse Services – TN
Direct Care America
Empower Health Plan – AR (Medicaid, Medicare)
Evolutions HealthCare
First Health/ Coventry National
Friday Health Plans
Gateway – KY
GEHA – United HealthCare/Coventry GA
Great West (Cigna)
Health Alliance Medical Plans
Health One Alliance
Health Partners
HealthChoice Medicaid – OK
HealthLink
HealthScope Benefits
HealthTeam Advantage Medicare (HTA)
HFN, Inc. PPO
HPO, Ltd. (Health Payors Organization)
Humana Health Plans (all products)
Humana Medicaid MCO (IL, LA)
IBG- Industry Buying Group
Illinicare Health Plan (Ambetter Exchange)
Lutheran Preferred
Magnolia Health Plan – Ambetter/ MSCAN
Mail Handlers Benefit Plan
MDWISE – MDIN MCO HIP & HHW
MDsave
Medicaid: AL, AR, GA, IL, IN, KS, KY, LA, MO, MS, NC, OH, OK, SC, TN, TX, VA, WV
Medical Mutual of Ohio
Medicare – GA, IN, MS, NC, TN, TX
MHS – MDIN MCO HIP & HHW
Missouri Care Medicaid MCO/Healthy Blue Missouri
Mohawk – EHN
Molina Healthcare of MS (MSCAN/CHIPS, Marketplace, Medicare)
Molina Healthcare of TX
Monroe County Health Department – KY
MultiPlan
Municipal Health Benefit Fund
Northside Health Network
NovaNet
NPPN PPO
Ohio Health Choice
Ohio PPO Connect
Optima Family Care – VA Medicaid
Optima Health
Oscar TN
Passport Health Plan/Passport Medicaid
PEIA-West Virginia
PHP of Northern Indiana
Physician’s Health Plan – IN
Piedmont WellStar – GA
PPO Next
Preferred Medical Claims Solutions
Prime Health Services
Private Healthcare Systems (PHCS)
Provider Select (formerly Provider Strategies)
QualChoice Health Plan
Railroad Medicare
Ryan White Foundation
Sagamore Health Network
Scott & White Health Plan (Commercial, Medicare, Medicaid)
Select Health Network
SoloCare – GA
Southwestern Health Resources TX- (UHC Medicare Advantage, ACO- Next Gen)
Stratose
Sterling Option 1 (Medicare +Choice)
SummaCare
Superior Health Plan – TX
Superior Select Medicare Advantage- AR
The Initial Group
Three Rivers Preferred
Tricare – Humana Military – WPS
TriWest Veteran’s Choice Program (VAPCCC, VAPC3)
Unison Advantage
United Mine Workers of America
United Healthcare Community Care- TN (formerly Americhoice)
UnitedHealthcare – MS Chips/ MSCAN
UnitedHealthcare of TN
UnitedHealthcare of the River Valley
USA Managed Care Network
VHAN – Vanderbilt Health Alliance Network
VIVA Health
Veterans Choice – TN
WellCare KY/MO- Medicaid
WellCare GA- Medicare/Medicaid
Wellcare TN- (Windsor Medicare Extra)

Anatomic and Pathology
Advanced Health System (MS State Employees)
Aetna Better Health – KY, LA, MO, IL (formerly Illinicare)
Aetna Health Plans (All Products)
Ambetter – AR, TX (All Products)
Ambetter – MHS IN Exchange
Ambetter – Peach State GA Exchange
America’s Choice Health Network
Amerigroup Community Care – GA, TN
Amerivantage
Anthem – MDIN MCO HIP & HHW, WC
Anthem – MDKY MCO
Anthem/BCBSVA HealthKeepers HMO/HealthKeepers Plus
Arkansas Total Care
Baptist Health Plan f/k/a Bluegrass Family Health
Baptist Health Services Group (BHSG)
Beech Street
Blue Advantage
BlueCare & TennCare Select – TennCare
BlueCross Blue Shield TN – All States and Plans participating through the BlueCard Program
BlueCross BlueShield of AL, GA, IL, IN, KY, MO, NC, OH, TN, VA, WV
BlueCross Community Health Plans – IL
Breast & Cervical Cancer Program – AL, AR, IL, IN, KY, TN
CareSource GA- Medicare (Macon GA Drs.only)
CareSource – IN – Medicare/Medicaid/Exchange
CareSource – KY – Medicare/Exchange
Carolina Complete Health – NC- Medicaid
Center Care
CHA Health
ChoiceCare PPO
CIGNA HealthCare (All States, All Products, including Connect)
Clover Health Medicare (Macon GA Drs. only)
Community Health Choice
Cook Children’s Health Plan – TX
Coresource/CoreStar (PHCS affiliate)
Corvel / CorCare
Coventry Healthcare – all states
Crescent PPO
Cumberland Healthcare (CHI) – KY
Department of Mental Health & Substance Abuse Services – TN
DirectCare America
Empower Health Plan AR – (Medicaid/Mediare)
EverCare (MCGA product)
Evolution Healthcare Systems
First Community Health Plan
First Health/ Coventry National
Freedom Health – WV
Friday Health Plans
Gateway Health Alliance
GEHA – United HealthCare/Coventry GA
Great West (Cigna)
Health Alliance Medical Plans
Health One Alliance
Health Partners
HPO, Ltd. (Health Payors Organization)
HealthChoice Medicaid- OK
Healthlink
HealthScope Benefits (CNA Health Partners)
HealthSpring Medicare HMO
HealthTeam Advantage Medicare (HTA)
HFN, Inc. PPO
Humana Health Plans (All products)
Humana Medicaid MCO (IL, LA, KY)
IBG- Industry Buying Group
Illinicare Health (Ambetter Exchange)
Lutheran Preferred
Magnolia Health Plan – Ambetter MSCAN/MS Chips
Mail Handlers Benefit Plan
MDsave
MDWISE – MDIN MCO HIP & HHW
Medicaid – AL, AR, GA, IL, IN, KS, KY, LA, MI, MO, MS, NC, OH, OK, SC, TN, TX, VA, WV
MedCost IPA – NC
Medical Mutual of Ohio
Medicare – GA, IL, IN, KY, MO, NC, TN, VA, WV
Memorial Health Services/Premier PPO
Meritage Medical Network (Marin IPA)
MHS – MDIN MCO HIP & HHW
Missouri Care – Medicaid MCO/Healthy Blue Missouri
Mohawk – EHN Molina Healthcare
Molina Healthcare of MS (MSCAN/CHIPS, Marketplace, Medicare)
Molina Healthcare of TX
Monroe County Health Department – KY
MultiPlan
Municipal Health Benefit Plan
NaphCare WV
National Preferred Provider Network (NPPN)
NorthSide Health Network
NovaNet
Ohio Health Choice
Ohio PPO Connect
Optima Family Care – VA Medicaid
Optima Health
Oscar TN
Passport Health Plan/Passport Medicaid
Peach State Health Plan – GA Medicaid
PEIA – WV
PHP of Northern Indiana
PHS IPA – Dalton GA
Physician’s Health Plan – IN
Piedmont WellStar – GA
PPO Next
Preferred Health Plan, Inc. (KY area)
Preferred Medical Claim Solutions
Preferred Provider Network (Product of CCN KY)
Prime Health Services
Private Healthcare Systems (PHCS)
Pronet thru Signature Network
Provider Select (formerly Provider Strategies)
QualChoice Health Plan
Railroad Medicare
Ryan White Foundation
Sagamore Health Network
Secure Health Plans – GA
Select Health Network
Signature Care PPO/Parkview
Smart Health/Mission Point Health Partners
SoloCare – GA
SouthCare PPO GA
Southern Health VA
Southwestern Health Resources ACO- TX
(UHC Medicare Advantage, ACO- Next Gen)
Sterling Option I (Medicare +Choice)
Stratose
SummaCare
Superior Health Plan – TX
Superior Select Medicare Advantage- AR
Synergy Health Network
The Initial Group
Three Rivers Preferred
Three Rivers Provider Network
TriCare -Humana Military/WPS/ Champus
TriWest Veteran’s Choice Program (VAPCCC & VAPC3)
Trustcare (Jennie Stuart Hospital employees WKHS)
Unison Advantage
United Mine Workers of America
UnitedHealthcare of DC, GA, IN, KY, MD, MO, TN, VA
United Healthcare Community Plan-TN (formerly Americhoice)
UnitedHealthcare MS Chips
UnitedHealthcare of the River Valley
USA Managed Care Network
VHAN –Vanderbilt Health Alliance Network
VIVA Health
Veterans Choice – TN
Virginia Health Network
Virginia Premier
Welborn Health Plan
Wellcare KY – Medicaid
Wellcare GA – Medicare/Medicaid
Wellcare MO- Medicaid
Wellcare TN (Windsor Medicare Extra)
West Virginia Family Health – Medicaid

* This list is subject to change and is not an all-inclusive list. Please ask your PathGroup representative about insurance/managed care plans that are not listed on this list or if you have questions about any of these plans. Updated 02.2020.