South Georgia Physician Network LLC
2866 Johnson Ferry Road
Marietta, GA 30062
- Delegated to perform credentialing for all Network Affiliations.
- Initial credentialing and re-credentialing every three years.
- Liaison between physician and managed care networks.
- Disseminate new membership information and physician changes to networks.
- Webpage links with managed care organizations.
- Conduct network meetings for administrators.
- In service seminars for plans.
- Membership news updates.
Managed Care Support
- Network contracting issues.
- Claim resolution issues.
Messenger Model Procedures
- Contract summary.
- Fee reimbursement analysis.
- Provide contract language responses to Managed Care Organizations.
- Provide fee reimbursement responses to Managed Care Organizations.
- Antitrust policy administration.
- Annual antitrust developments.
- Coventry POS
- Entera MCO
- First Health/Southcare
- Multiplan PHCS
- Peach State Health Plan
- Prime Health Services
- United HealthCare (credentialing only)