Clinical
Advanced Health Systems (MS State Employees)Aetna Better Health – MO (Healthcare USA Medicaid)

Aetna Health Plans – All Products

Ambetter Managed Health – AR, IN

Ambetter Peach State GA Exchange

AmeriChoice – TennCare

Amerigroup Community Care – GA, TN

Anthem – MDIN MCO HIP AND HHW

Anthem – MDKY MCO

BeechStreet

Blue Advantage

BlueCare & TennCare Select – TennCare

BlueCross BlueShield AR Health Advantage HMO

BlueCross BlueShield of AL, AR, GA, IL, IN, KC, KS, KY, LA, MO, MS, NC, OH, SC, TN, TX, VA, WI

BlueGrass Family Health

Center Care

CHA Health

Champus

ChoiceCare PPO

CIGNA HealthCare (All States/Products)

Community Care – MO

Corvel/CorCare

Coventry of TN

CoventryCares KY Medicaid

CoventryCares VA Medicaid

Crestpoint Advantage Plans – TN

Cumberland Healthcare (CHI)

Department of Mental Health & Substance Abuse Services

Direct Care America

Evolutions HealthCare

First Health/Coventry National

Gateway – KY

GEHA PPO/USA

Great West (Cigna)

Health Alliance Medical Plans

Health One Alliance

Health Partners

HealthChoice Medicaid – OK

HealthLink

HealthScope Benefits

HFN, Inc. PPO

HPO, Ltd. (Health Payors Org)

Hoosier Care Connect – IN

Humana Health Plans – All products

Lutheran Preferred

Magnolia Health Plan – MS CAN and Ambetter

Mail Handlers Benefit Plan

Majesta Care Medicaid – VA

MDWISE – MDIN MCO HIE HIP & HHW

Medicaid of AL, AR, GA, IL, IN, KS, KY, LA, MO, MS, NC, OH, OK, SC, TN, TX, VA, WV

Medical Mutual of Ohio

Medicare Advantage – KY

Medicare Tennessee

MHS – MDIN MCO HIP & HHW

Missouri Care Medicaid MCO

Monroe County Health Department – KY

MultiPlan

Municipal Health Benefit Fund

NovaNet

NPPN PPO

Optima Family Care – VA Medicaid

Optima Health

Passport Health Plan/Passport Medicaid

PEIA-West Virginia

PHP of Northern Indiana

PHP/Cariten Commercial Products

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

Sagamore Health Network

Select Health Network/St. Mary’s

Signature Health Alliance

SoloCare – GA

SoonerCare Medicaid – OK

Stratose

Sterling Option 1 (Medicare + Choice)

The Initial Group

Three Rivers Preferred

Tricare – Humana Military, HealthNet

TriWest Veteran’s Choice Program (VAPCCC, VAPC3)

United Mine Workers (Unison Advantage)

UnitedHealthcare of Tennessee

UnitedHealthcare of the River Valley (formerly John Deere Health Plans of TN)

United Healthcare Compass

USA Managed Care Network

WellCare – GA, KY Medicaid

WellCare Advantage – GA

Windsor Medicare Extra

Anatomic and Pathology
Advanced Health System (MS State Employees)Aetna Better Health – KY, MO, VA

Aetna Health Plans (All Products)

Ambetter – AR, All products

Ambetter Exchange Magnolia Health Plan-Medicaid

Ambetter – Managed Health IN Exchange

Ambetter – Peach State GA Exchange

Americhoice – TennCare

Amerigroup Community Care – GA, TN

Anthem – MDIN MCO HIP & HHW, WC

Anthem – MDKY MCO

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, TN, VA, WV

Bluegrass Family Health

Center Care

CHA Health

Champus

ChoiceCare PPO

CIGNA HealthCare (All States/Products)

Community Care – MO

Coresource/CoreStar (PHCS affiliate)

Corvel/CorCare

Coventry of Georgia

Coventry of TN

Coventry VA/Southern Health/CareNet VA

Crescent PPO

Crestpoint Advantage Plans – TN

Cumberland Healthcare (CHI)

DirectCare America

EverCare (MCGA product)

Evolution Healthcare Systems

First Community Health Plan

First Health/Coventry National

Freedom Health – WV

Gateway Health Alliance

GEHA PPO/USA

Georgia State Merit

Great West (Cigna)

Health Alliance Medical Plans

Health One Alliance

Health Partners

Health Payors Organization (HPO, Ltd.)

HealthChoice Medicaid – OK

HealthKeepers HMO/HealthKeepers Plus VA

Healthlink

HealthScope Benefits (CNA Health Partners)

HealthSpring Commercial and Medicare HMO

HFN, Inc. PPO

Hoosier Care Connect – IN Medicaid

Humana Health Plans – All products

IL Breast and Cervical Cancer Program

IN Breast & Cervical Cancer Program

KY Breast and Cervical Cancer Program

Lutheran Preferred

Mail Handlers Benefit Plan

MDWISE – MDIN MCO HIP & HHW

Medicaid of AL, AR, GA, IL, IN, KS, KY, LA, MD, MI, MO, MS, NC, OH, OK, SC, TN, TX, VA, WI, WV

Medical Mutual of Ohio

Medicare of GA, IL, IN, KY, MO, TN, VA, WV

Memorial Health Services/Premier PPO

Meritage Medical Network (Marin IPA)

MHS – MDIN MCO HIP & HHW

Missouri Care – Medicaid MCO

Monroe County Health Department, KY

MultiPlan

Municipal Health Benefit Plan

NaphCare WV

National Preferred Provider Network (NPPN)

NovaNet

OneNet – All states (UHC)

Optima Family Care – VA Medicaid

Optima Health

Passport Health Plan/Passport Medicaid

Peach State Health Plan – GA Medicaid

PEIA – WV

PHP of Northern Indiana

PHP/Cariten Commercial Products

PHS IPA – Dalton GA

Physician’s Health Plan – IN

Piedmont WellStar – GA

PPO Next

Preferred Health Plan, Inc. – KY

Preferred Medical Claim Solutions

Preferred Provider Network (Product of CCN KY)

Prime Health Services

Private Healthcare Systems (PHCS)

Pronet (Signature Network)

Provider Select (Provider Strategies)

QualChoice Health Plan

Sagamore Health Network/Select Health Network/St. Mary’s

Secure Health Plans GA

Signature Care PPO/Parkview

Signature Health Alliance

Smart Health/Mission Point Health Partners

SoloCare – GA

Sooner Care Medicaid – OK

SouthCare PPO – GA

State Health Benefit Plan (SHBP) – GA

Sterling Option I (Medicare +Choice)

Stratose

Synergy Health Network

The Initial Group

Three Rivers Preferred

Three Rivers Provider Network

TN Breast and Cervical Cancer Program

TriCare – Humana Military, HealthNet

TriWest Vetern’s Choice Program

Trustcare (Jennie Stuart Hospital Employees WKHS)

Unison Advantage

United Mine Workers of America

UnitedHealthcare – Railroad Medicare

UnitedHealthcare of DC, GA, IN, KY, MD, TN, VA

UnitedHealthcare of the River Valley

UnitedHealthcare Compass

USA Managed Care Network

Virginia Health Network

Virginia Premier

Welborn Health Plan

Wellcare – GA, KY Medicaid

Wellcare Advantage Plans – GA

West Virginia Family Health – Medicaid

Western KY Healthplan System (WKHS)

Windsor Medicare Extra

* 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 10/2015.