South Georgia Physician Network, LLC

SERVICES

Credentialing, Provider Relations, Managed Care Support, Messenger Model Procedures, Antitrust Compliance, Network Affiliations

Contact Information

South Georgia Physician Network LLC
3269 North Valdosta Road
P O Box 3458
Valdosta, GA 31604-3458
229-247-5153
229-259-9491 (Fax)
www.sgpn.org

Email SGPN

Credentialing

  • Delegated to perform credentialing for all Network Affiliations.
  • Initial credentialing and re-credentialing every three years.

Provider Relations

  • 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 Compliance

  • Antitrust policy administration.
  • Annual antitrust developments.

Network Affiliations

  • 1st Medical Network/Super Med
  • Multiplan
  • Aetna
  • NovaNet
  • Beech Street
  • Peach State Health Plan
  • Coventry POS
  • PHCS
  • First Health/Southcare
  • Prime Health Services
  • Great West
  • Tricare
  • Identity MCO
  • United HealthCare