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Mission Hospitals of Asheville
Provider Information

PROVIDERS MISSION HOSPITALS   EMPLOYEES
Greeting Nominate a Provider
Provider Intent to Participate Discount Program Description


GREETING

Re:  Mission Hospitals of Asheville

Dear Provider: 

Alternative Healthcare Options (AHO) is pleased to announce that it has been chosen by Mission Hospitals. as the complementary and alternative medicine (CAM) PPO network to offer a discount program to its employees, effective January 01, 2002.  

Therefore, Alternative Healthcare Options is pleased to invite you to apply for participation in this new CAM PPO network.  Please complete the following initial application and contract, and return it to Alternative Healthcare Options by November 1.  Refer to the Provider Application checklist enclosed to assist you in this process and to ensure that your application is complete.  After we receive your application, we will begin the credentialing process.  

Alternative Healthcare Options is a unique complementary and alternative medicine (CAM) preferred provider organization (PPO).  Alternative Healthcare Options’ mission is to integrate natural choices in health care through complementary and alternative medicine.  We encompass a complete array of complementary and alternative services including, Licensed Acupuncturists, Chiropractors, Massage Therapists and Naturopathic Physicians.

AHO is the only organization in the region that provides covered benefits of CAM services and brings the marketing and contracting synergy demanded by the public and employer community. 

Please feel free to contact me at (877) 203-3440, ext 304, with any questions or concerns.

Sincerely,

Richard G Dunn
President/CEO  

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NOTICE OF INTENT TO PARTICIPATE

Please take a minute to fill out our online form.  When you click submit, we will get an email of this short application.   After you finish the notice of intent, please click on PROVIDER APPLICATIONS to obtain a detailed application online.   If you have any questions please contact Richard Dunn at 1-877-203-3440 ext 304. 

ALTERNATIVE HEALTHCARE OPTIONS
INITIAL PARTICIPATING PROVIDER AGREEMENT
CERTIFICATE OF PARTICIPATION

I, (“PROVIDER”) a Participating Provider in good standing hereby tender this Certificate of Participation in Alternative Healthcare Options (“AHO”) upon the terms and conditions set forth in this Initial AHO Participating Provider Agreement.  (We will be requesting your fee schedule and insurance information at a later date)

The undersigned represents and warrants that: 

  1. I am licensed/registered to practice in and my license/ registration is in good standing.  I am engaged in active practice of Complementary and Alternative Medicine with adequate practice facilities and equipment.
  1. I agree to provide a 20% discount off my usual and customary charges or to be responsible for collecting a co-pay and then bill AHO the remaining balance of my usual and customary charges and accept third party reimbursements for covered serves, when applicable, for members of AHO.
  1. I attest that I maintain an appropriate level of Professional Liability Insurance and that no claims have been made against me. 
  1. I agree to all the Terms and Conditions of this Initial AHO Participating Provider Agreement.  I also understand that a full and complete application and agreement will follow and supersede this Agreement.

The undersigned Participating Provider herby agrees to the Terms and Conditions of this Initial Agreement on this day of , year

Provider's Name:
Your name here is your online signature.
Email:
Tax Id :
Clinic / Office Name:
Address:
City, State, Zip:
County:
Business Phone:
Business Fax:

    

After you submit your intent notice, you will be taken to an area
where you can obtain the full application form.


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NOMINATE A PROVIDER

If you have a favorite provider, whether it be a practitioner or service, you can nominate them for inclusion in the PPO Network.   Just submit the information in the form below and we will extend that provider an invitation.

Your Employer:
Name:
Email:
Provider Name:
Provider Address:
City/State/Zip:
Provider Telephone:
Specialty:

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EMPLOYEE DISCOUNT PROGRAM

Alternative Healthcare Options continues to grow in interest and popularity.  MSJ offers employees and eligible dependents an opportunity to enroll in the Alternative Healthcare Options (AHO) network at group membership rates.  This discount card program provides:

  • 20% discounts off the normal billed charges from participating providers.

  This is a voluntary benefit program and is not part of our health insurance plan.

Benefits for you and your eligible dependents

  PROVIDERS
  • Acupuncturists
  • Naturopaths
  • Massage Therapists
  • Chiropractors*

PROVIDER LOCATER
(* Please note that since these benefits are provided under our health plans, the health plan's benefits will apply first.  The discount card can be used once you reach your annual out-of-pocket maximum or for any chiropractic services not covered under your health plan.)  
    
  MSJ MEMBERSHIP INFORMATION

Select one of two coverage options
  • $1.25 / Pay period for employee / children
  • $2.50 / Pay period for employee / spouse / children

  ENROLLMENT INFORMATION

Contact the Human Resources Department to enroll. 
 704-213-5600

Contact AHO members services at; 
877-203-3440 extension 310
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AHO HEALTHCARE OPTIONS
PO Box 749 bullet.gif (865 bytes) Matthews, NC 28106
704.847.2321 [BUS] bullet.gif (865 bytes) 1.866.636.0239 (Toll Free)  bullet.gif (865 bytes)  704.847.3014 [FAX]