Physician Benefits

With a network of over 350,000 physicians nationwide and over 50,000 ancillaries, National Benefit Card members can save on medical services utilizing the contracted provider networks.

 

 

1.  FIND A PROVIDER:

   

Appointments must be made with a providers in the network.  To locate a provider please CLICK HERE , or contact a physician services representative at 1-800-236-3609 for the name of a contracted provider in your area.

 

2.  MAKE AN APPOINTMENT:

 

When you contact the provider's office to make an appointment, please let them know your program utilizes an approved provider network and you will provide further information at the time of your appointment with the Doctor Letter.  If the provider would like to know which network they are affiliated with prior to the appointment, please have them call Provider Relations at 1-800-730-9730.

 

3.  BRING YOUR ID CARD AND DEAR PROVIDER LETTER:

 

Members must always present their identification card and the Doctor Letter.  Present the letter to the receptionist when you arrive at the participating physician's office.  If the provider's office has any questions, have them call Provider Relations at 1-800-730-9730.

 

Payment Method 1: The physician's office calls the automated repricing system at 1-800-648-2583 and obtains a repriced contracted amount.  You MUST pay the contracted amount at that time.

 

Payment Method 2: The providers may choose to file a claim form rather than use the automated system.  In that instance, the member will receive a letter with a statement explaining the contracted amount.  The member MUST pay the contracted amount to the provider within 30 days.

 

Payment Method 3: Some providers may choose to charge 80% of their reasonable and customary charge and then submit the paperwork.  In this case you pay the 80% at the time of your visit.  After the bill is adjudicated, if the provider has overcharged, the provider will reimburse the difference to you.

This is NOT an insurance plan and there will be no reimbursement to you or to the participating physician.  You are fully responsible for paying the provider directly for services rendered.

 

You will have to pay your bill at the time of service in order to get the preferred rate.  A few providers may choose to send you a bill after your receive services.  It is completely up to the provider which method of billing is chosen, payment at the time of service or billing you after rendering services.

 

You must adhere to the provider's preference regarding the timing of payment to ensure that you receive the preferred rate.  If your provider requests payment at the time services are rendered and you do not pay as required, your provider may charge you the full standard rate instead of the preferred rate.

 

 

A member has a $120 office visit with a participating provider.  The provider calls the 1-888-648-2583 number, which faxes back an explanation of savings to the provider.  The contracted rate is $80.00.  The member then pays the $80.00 at the point of service.  By using the in-network provider, the member saved $40.00 or 33%.

 

Your satisfaction is very important to us.  As an ASP National Benefit Card member, you have access to our Customer Care Representatives, who are available from 6 a.m. to 4 p.m. Pacific Time, Monday through Friday at 1-800-236-3609.  Feel free to call us after hours and leave a message.  We will promptly return all messages the following business day.

 

As a reminder, we have a special provider service number, 1-800-730-9730,  that your providers can use if they have questions about the program.

 

 

DOCTOR NOT IN THE NETWORK?

 

If there is a particular provider you would like to utilize, however, the provider is not currently in the network, please complete a copy of the enclosed Nomination Form and submit it to the address listed on the bottom of the form.  The provider will be contacted with regard to network participation.