PPO USA Network Overview

In the first quarter of 2008, GEHA’s staff has worked hard to support our PPO USA Network participating providers. We continued to update our processes and training materials in order to provide the best possible customer service. We created new, more efficient processes for handling correspondence, and we continued implementing and testing customized software to help us ensure our participating providers receive the timeliest effective dates possible.

At this time, our network is able to process all provider additions, changes and terminations within one day of receipt. We are also creating new ways to cross-train our staff. We are currently contracting with rural providers to offer better access to care, and we are working with our currently contracted providers to update demographic information for network directories. Two large physician groups in Oklahoma and Louisiana will stop operating on their own soon, and we are working with the groups’ individual providers to contract directly, so that they can remain in the PPO USA Network. We also continue to monitor state laws and implement new procedures to ensure we remain in compliance with all applicable laws and regulations.

We have simplified paperwork and eliminated the PPO USA Network recredentialing application. We hope this change makes recredentialing more convenient. If it is time for your PPO USA Network recredentialing, you will receive a provider profile and return documents to us with any changes. If we don’t receive changes, we will start the approval process. This new procedure will save both time and cost.