MNH is owned by 6 local hospitals and 255 local physicians. EMMC and EMHS are part owners and important partners of MNH.

We perform many support functions, including:

• helping providers with their business arrangements with insurance companies and HMOs,
• facilitating the credentialing process using CAQH, and
• providing education & training for providers in the area of quality improvement processes so they can address the concerns being raised about health care quality.

No, you would simply submit your claims to your Payors as you normally would.

You can call us at 207-942-2844 and request a Provider Agreement.

MNH gets paid through a combination of grants, access fees and fee for service activities.

You can find our list of current contracted payors on the Network Services page. MNH can assist you in contracting with non-network payors (see our Credentialing page) for a reasonable fee.

To begin the credentialing process, all providers wishing to join our network need to:

1. complete a CAQH application and
2. submit a Provider Data Form.

Once their application is completed, our Network Support Specialists will download it, review the information, and then submit it to Anthem Credentialing Services, Inc. to verify the primary sources. The provider's application will then be reviewed by our Credentials Committee. Once a provider has been accepted into our network, a confirmation letter will be sent to them.

Make your request to MNH in writing on company letterhead to include effective date, practice name, address, tax ID #, and names of providers. This request can be sent to us by:

• mail to 80 Exchange St Ste 603 Bangor, ME 04401
• fax to 207-942-2723, or
• email

If the provider is not in our network you will have to complete the Provider Data Form and submit it to us by:

• mail to 80 Exchange St Ste 603 Bangor, ME 04401
• fax to 207-942-2723, or
• email

If the provider is already in our network, you will have to complete the Change in Practice Form and submit it to us by:

• mail to 80 Exchange St Ste 603 Bangor, ME 04401
• fax to 207-942-2723, or
• email

MNH contracts with providers holding the following credentials: MD, DO, DPM, DDS, NP and OD. If your provider is one of these, please complete the Provider Data Form and submit it to us by:

• mail to 80 Exchange St Ste 603 Bangor, ME 04401
• fax to 207-942-2723, or
• email

Services included in network membership are:

• participation in MNH payor contracts,
• credentialing for MNH payor contracts,
• information services (Practice Manager Work Groups, Joint Operating Committees, MNH quarterly newsletter), and
• grant-supported quality improvement programs.

Fee for service options are:

• contracting assistance for other payors and
• credentialing with other commercial payors or government contracts.

• Payor Contracting Services
• Network Support
• Credentialing Services
• Quality Improvement Support

You will need to complete a Change in Practice Form and submit it by:

• mail to 80 Exchange Street, Suite 603, Bangor, ME 04401
• fax to 207-942-2723
• email

to the attention of our Network Support Specialists.

There is no charge for membership in the Network. However, please note that some of the services from MNH are available on a “fee for service” basis.

CAQH is The Council for Affordable Quality Healthcare, Inc. They have created the CAQH Universal Credentialing DataSource which includes a universal online credentialing application. Should you need assistance completing their application our Network Support Specialists are available to walk you through the process. You can contact them by phone (207-942-2844) or email.

MNH contracts with commercial and managed care payors on behalf of our Network, which both supports and strengthens the Network while providing optimal access to high quality care.

This consists of:

• MNH's staffing to respond to Provider problems and questions,
• contract monitoring and enforcement,
• improved education and communication on Payor initiatives, and
• improved overall Payor relations.

Contact the MNH Network Support Specialists (207-942-2823) to confirm your contract information.

MHN is a company owned by local doctors and hospitals, which was created in 1995 to help them deal more constructively with HMOs and managed care. Today MNH has developed into a broad-based service organization. We offer a range of services that support doctors and hospitals (who we call "providers") to deal with the rapidly changing demands of the health care industry.

We currently do not have payor contracts to include these other provider types.