Department: Revenue Management



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POLICY TITLE: Centura Health Financial Assistance Policy

DEPARTMENT: Revenue Management

ORIGINATION DATE: 11/01/2016

CATEGORY: Billing

EFFECTIVE DATE: July 1, 2016







ADDENDUM B







COVERED PROVIDERS*

(Revised 10/01/2016)

*Provider list to be updated quarterly







The following professional charges are covered by the Centura FAP.







Facility_Desc

Sub-Specialty

AAH CHPG HOSPITALISTS

Hospitalist

ACCESS FAMILY MEDICINE AT PARKER

Family Practice

AVISTA FAMILY MEDICINE ERIE

Family Practice

AVISTA INTERNAL MEDICINE

Internal Medicine

AVISTA OB CLINIC

OB/Gyn

BELMAR NHC CHPG

Family Practice

BOULDER HOLISTIC MED CENTER

Family Practice

BWMH SURGERY CLINIC

General Surgery

BWMH ULYSSES FAMILY PRACTICE

Family Practice

CASTLE ROCK AFFILIATED ENT

ENT

CASTLE ROCK HOSPITALISTS

Hospitalist

CCOM COLORADO SPRINGS

Occupational Health

CCOM NORTH DENVER

Occupational Health

CCOM SOUTH DENVER

Occupational Health

CCOM SOUTH STATE

Occupational Health

CCOM SOUTHWEST

Occupational Health

CCOM SUMMIT

Occupational Health

CENTER ENDOCRINOLOGY AND DIABETES

Endocrinology

CHAMBERS SPEC SURGICAL CARE

Breast Surgery

CHATFIELD FAMILY MEDICINE

Family Practice

CHATFIELD WOMEN CARE

OB/Gyn

CHPG CHURCH RANCH AT AVISTA

Breast Surgery




G.I.




General Surgery




Geriatrics




Neurology




OB/Gyn




Sports Medicine

CHPG COLORADO CTR FOR BONE RESEARCH

Rheumatology

CHPG CRIPPLE CREEK VICTOR MTN

Family Practice

CHPG CTR FOR BREAST CARE AVIST

Breast Surgery

CHPG GASTROENTEROLOGY PAH

G.I.

CHPG HIGH COUNTRY

Family Practice




OB/Gyn

CHPG NEUROLOGY SOUTHWEST

Neurology

CHPG NHC ARVADA

Family Practice

CHPG NHC DACONO

Family Practice

CHPG NHC GOLDEN

Family Practice

CHPG NHC MERIDIAN

OB/Gyn




Uro/Gyn

CHPG NHC ORCHARD

Family Practice




General Surgery




Neurology




Neurosurgery




OB/Gyn




Pain Mgmt

CHPG NHC THORNTON

Family Practice




OB/Gyn

CHPG ONCOLOGY AT AVISTA

Oncology

CHPG ONCOLOGY AT SASMC

Oncology

CHPG ORTHOPEDICS PORTER

Orthopedics

CHPG PHYSICAL MEDICINE AND REHAB

Physiatry

CHPG PRIMARY CARE NORTHGLENN

Family Practice

CHPG SAH INTERNAL MEDICINE

Internal Medicine

CHPG SENIOR CARE PAH HOLLY CREEK

Geriatrics

CHPG STM PEDIATRIC HLTH SVCS

Family Practice

CHPG WOMENS HLTH AT LAH

OB/Gyn

COLORADO BREAST IMAGING

Radiology

COMPREHENSIVE OBGYN AT PARKER

OB/Gyn

CSSC CENTURA PT TRI-LAKES

Occupational Health

CSSC COLORADO SPRINGS

Occupational Health

CSSC NORTH DENVER

Occupational Health

CSSC SOUTH DENVER

Occupational Health

CSSC SOUTH STATE

Occupational Health

CSSC SUMMIT

Occupational Health

CYPRESS HEMATOLOGY & ONCOLOGY AT PARKER

Oncology

DIMENSIONS PAIN MANAGEMENT

Pain Mgmt

DURANGO NEPHROLOGY ASSOCIATES

Nephrology

ENDO DIABETES THYROID SASMC

Endocrinology

FLATIRONS HEART AND VASCULAR

Cardiology

FOUR CORNERS INFECT DISEASES

Infectious Disease

FOUR CORNERS PULMONARY-CC MED

Pulmonology

GRACE FAMILY PRACTICE

Family Practice

INTEGRATED OBGYN AT PARKER

OB/Gyn

INTERMOUNTAIN NEURO

Neurosurgery

LAH AFFILIATED ENT PHYSICIANS

ENT

LAH CLEMENT FAMILY MEDICINE

Family Practice

LAH HIGHLANDS RANCH MEDICAL ASSOCIATES

Family Practice

LAH MILE HIGH ONCOLOGY

Oncology

LAH SOUTH QUEBEC FAMILY MEDICINE

Family Practice

LUH CHPG CARDIOLOGY

Cardiology

LUH CHPG FAM MED BERTHOUD

Family Practice

LUH CHPG FAM MED FIRESTONE

Family Practice

LUH CHPG FAM MED LYONS

Family Practice

LUH CHPG FAM MED NIWOT

Family Practice

LUH CHPG GENERAL SURGERY

General Surgery

LUH CHPG GI

G.I.

LUH CHPG INTERNAL MEDICINE

Internal Medicine

LUH CHPG OBGYN

OB/Gyn

LUH CHPG TRAVEL MEDICINE

Infectious Disease

MERCY CARDIOLOGY ASSOCIATES

Cardiology

MERCY CRITICAL CARE PHYSICIANS

Intensivist

MERCY DURANGO CANCER CENTER

Oncology

MERCY FAM MED BAYFIELD

Family Practice

MERCY FAMILY MED HORSE GULCH

Family Practice

MERCY FAMILY MEDICINE

Family Practice

MERCY HOSPITALIST

Hospitalist

MERCY ORTHOPEDIC ASSOCIATES

Orthopedics

MERCY SOUTHWEST ONCOLOGY

Oncology

MERCY SURGICAL ASSOCIATES

General Surgery

MERCY UROLOGY SERVICES

Urology

MRMC CHPG INTERNAL MED CLINIC

Internal Medicine

MRMC CHPG RHEUMATOLOGY SOUTHWEST

Rheumatology

MRMC ENDOCRINOLOGY SOUTHWEST

Endocrinology

MRMC GASTROENTEROLOGY SOUTHWEST

G.I.

NEIGHBORHOOD HLTH CTR HIGHLANDS

Family Practice

NORTHWEST GASTROENTEROLOGY

G.I.

ORTHO CHPG HOSPITALISTS

Orthopedics

PAH CHPG AT CLERMONT PARK

Geriatrics

PAH CHPG HOSPITALISTS

Hospitalist

PARKER BARIATRIC AND METABOLIC CENTER OF COLORADO

Bariatric Surgery

PARKER CENTURA HEALTH AT SOUTHLANDS

Family Practice




OB/Gyn

PARKER ENDOCRINOLOGY CENTER

Endocrinology

PARKER ENT PHY GRP

ENT

PARKER PRIMARY CARE

Family Practice

PINNACLE OBGYN

OB/Gyn

PKR CHPG HOSPITALISTS

Hospitalist

PKR PAIN CLINIC

Pain Mgmt

PORTER ARACEA WOMENS CARE

Gynecology




OB/Gyn

PORTER CENTURA MEDICAL CONSULTANTS

Hospitalist

PORTER COLORADO HEAD AND NECK SPECIALISTS

Head and Neck Surgery

PORTER COLORADO JOINT REPLACEMENT

Orthopedics

PORTER COMPREHENSIVE BREAST CARE

Breast Surgery

PORTER CREEKSIDE FAMILY MEDICINE

Family Practice

PORTER CYPRESS ONCOLOGY

Oncology

PORTER PRIMARY CARE HP

Family Practice

PRIMARY CARE PHYSICIANS

Family Practice

PSF BROADMOOR PRIMARY CARE

Family Practice

PSF PHY PRACT PRIMARY CARE

Family Practice

PSF PHY PRACT SO COLO BREAST SPECIALISTS

Breast Surgery

PSF PHY PRACT VASCULAR SURGEON

Vascular Surgery

PSF PHY PRT MONUMENT PRIM CARE

Family Practice

PSF PHY PRT PEN BEHAVIORAL HLT

Family Practice

PSF PRT CHPG PEDIATRIC HEALTH

Family Practice

RIDGEGATE OB/GYN

OB/Gyn

RIDGELINE FAM MED CASTLE PINES

Family Practice

RIDGELINE FAM MED MEADOWS

Family Practice

SAH ASPEN RIDGE ENT

ENT

SAH CHPG HOSPITALISTS

Hospitalist

SAH ENDO DIABETES THYROID SPECIALISTS

Endocrinology

SAH NEURO SPECIALTY ASSOCIATES

Neurology

SAHC ASSOCIATED SURGEONS

General Surgery

SAHC EVERGREEN CLINIC

Family Practice

SAINT MARY CORWIN GASTROENTEROLOGY

G.I.

SAINT MARY CORWIN REHAB PHYS-KEDLAYA

Physiatry

SAINT MARY CORWIN RESIDENCY CLINIC PROGRAM

Family Practice

SAINT MARY CORWIN TOUCHSTONE HEALTH

Family Practice

SAN FAMILY PRACTICE

Family Practice

SANHC CHPG HOSPITALISTS

Hospitalist

SASMC ASPEN RIDGE ENT

ENT

SASMC CHAMBERS SPEC SURG CARE

Breast Surgery

SCH FAMILY PRACTICE CLINIC

Family Practice

SCH GENERAL SURGERY CLINIC

General Surgery

SCH HEALTH CENTER

Family Practice

SCH HEART CENTER

Cardiology

SCH INTERNAL MEDICINE CLINIC

Internal Medicine

SCH NEPHROLOGY CLINIC

Nephrology

SCH NEUROLOGY

Neurology

SCH OCCUPATIONAL MEDICINE CLINIC

Occupational Health

SCH ORTHOPEDICS

Orthopedics

SCH PEDIATRIC CLINIC

Family Practice

SCH PODIATRIST CLINIC

Podiatry

SCH PODIATRY DC

Podiatry

SCH WALK IN

Urgent Care

SCH WOMENS CLINIC

OB/Gyn

SCH WOUND CARE

General Surgery

SMC ANESTHESIA

Anesthesiology

SMC CHPG HOSPITALISTS

Hospitalist

SMC PHY PARTNERS ORTHO SURG

Orthopedics

SMC PHYS GRP VASCULAR SURGERY

Vascular Surgery

SMC RKY MTN SPORTS AND FAMILY MEDICINE AT CENTURA

Family Practice

SOUTH DENVER NEUROSURGERY

Neurosurgery

SOUTH SUBURBAN INTERNAL MED

Internal Medicine

SOUTHWEST COLORADO ANESTHESIA

Anesthesiology

STM ANESTHESIA

Anesthesiology

STM ENT CLINIC

ENT

STM PHYS GRP - GEN SURGERY

General Surgery

STM PHYS GRP - INTERNAL MEDICINE

Internal Medicine

STM PHYS GRP - OB

OB/Gyn

STM PHYS GRP - ORTHO SURGERY

Orthopedics

STM PHYS GRP - PCMH FAM PRACT

Family Practice

STM URGENT CARE CLINIC

Urgent Care

SUMMIT CARDIOLOGY

Cardiology

TIMBERVIEW CLINIC

Internal Medicine

TOUCHSTONE PUEBLO WEST CLINIC

Family Practice


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