Provider offices are encouraged to review their demographic information published in the provider directory on a quarterly basis.
Our Find a Doctor tool allows Independence members to conduct efficient online searches for network doctors, specialists, hospitals, and other health care professionals. Having the most up-to-date information available is key to making this an effective tool. This information serves an important purpose to members who are choosing a health care provider.
Your provider profile displays the following types of information:
- provider’s gender
- specialty
- languages spoken
- hospital affiliations
- whether he or she is accepting new patients
- board certification status
- availability of weekend hours
This information allows existing or potential members to search for a medical professional with the ability to compare up to three provider profiles side by side so they can make an informed decision for their health care needs.
Plans accepted
Independence offers a variety of plans for both commercial and Medicare Advantage members. It is important that you know all of the plans accepted under your Professional Provider Agreement or Hospital, Ancillary Facility, or Ancillary Provider Agreement with Independence. Your provider profile includes a list of plans your practice/facility accepts. It is important to know which plans are offered when patients are calling to confirm that you accept their insurance.
The following is a complete list of plans currently offered through Independence:
|
Commercial plans |
Medicare Advantage plans* |
|---|
Keystone HMO Proactive | Keystone 65 Basic HMO |
Keystone HMO/POS/Direct POS | Keystone 65 Focus HMO-POS |
Keystone HMO CHIP | Keystone 65 Preferred HMO |
Personal Choice PPO | Keystone 65 Select HMO |
Personal Choice EPO | Personal Choice 65 SM PPO |
Personal Choice Tiered | Personal Choice 65 Prime PPO |
*There are certain circumstances when a member under 65 qualifies for a Medicare Advantage plan.
Accessing your profile
To view your provider profile, visit the online Find a Doctor tool for
Commercial and
Medicare Advantage members. Enter your office/facility name in the search field and review the accuracy of the information presented.
Submitting changes
If you need to make changes to the information displayed in your provider profile, please review the steps outlined on the
Demographic Maintenance Guide page of our Provider News Center.
Thank you in advance for your participation in this important effort to ensure that our members have access to the most current information about our provider network.