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Provider Frequently Asked Questions (FAQs)
Originally established in 1988 by leading regional community hospitals, PPOplus is the region’s premier Preferred Provider Organization (PPO). Today PPOplus is a privately held corporation, not owned by physicians, hospitals or insurance carriers. Led by a team of experienced PPO executives and now one of the network solutions offered by Zelis, PPOplus is a full-service PPO that delivers quality healthcare networks and administrative services to insurance carriers, third party administrators and self-funded employer groups. PPOplus has developed a significant regional presence with statewide coverage in Louisiana, Mississippi, Arkansas and extended coverage into western Tennessee. With over 30,000 medical providers, PPOplus offers its clients choice, convenience, and appropriate geographic coverage.
With thousands of members currently accessing PPOplus' regional network, your practice or facility may experience increased patient volume following network enrollment and participation. Yes, a PPOplus logo will appear on the patient’s ID card making it easy to identify PPOplus members. Yes, with a strong focus on Provider Service and in an effort to promote ease of administration for its provider partners, PPOplus has made a commitment to advanced state-of-the-art technology. We have streamlined the claims process and shortened the turnaround time by offering electronic claims filing to our providers. PPOplus' electronic payer number is 36335. PPOplus’ mission is to provide a network that is more responsive to its clients and providers and which better fits the needs of today’s employers. PPOplus maintains an open-panel network. Therefore, we welcome all providers who meet our credentialing criteria to join. PPOplus’ credentialing program is based upon National credentialing standards. In order to join, please email providercontact@zelis.com to request a network enrollment packet or contact the PPOplus Provider Services Department at 1-888-965-7718 to request an application for participation. After completing the application, please return it either securely electronically to providercontact@zelis.com or mail to:
Zelis For all PPOplus members, paper claims should be mailed to PPOplus’ post office box:
PPOplus, LLC Electronic Mail Address: Payer ID# 36335 |