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Breadcrumb: Home->Insurance Contracts

CONTRACTED INSURANCE CARRIERS

Click here for Contract Updates

This listing may change from time to time, without notice.

The accuracy of this listing is not guaranteed.

Dr. Perryman and the insurance carriers listed herein make no guarantee, warranty or contractual comittment to be bound to In-Network status or that In-Network benefits will apply to your visits. Only your insurance carrier can make such determination.  Our office must rely on and abide by any determiniation made by your insurance carrier.  If you verified Dr. Perryman's In-Network status with your carrier and your carrier does not process the claim correctly, you will have to appeal the insurance carriers decision through the insurance carriers appeal process as outlined in your benefits handbook.  Our office can not act as mediator, but we are willing to assist you where we can.

(For Information about where to file a complaint please see our Insurance Complaint page)

Dr. Perryman has signed contracts to be included as an In-Network provider for the following Insurance Carriers/Insurance Networks. Please be advised that it is still your responsibility to check with your member services department to verify that Dr. Perryman is In-Network for your benefit plan.

Accountable Health Plans
Affiliated Healh Plans
BlueCross/BlueShield of Texas
     ParPlan Provider
     PPO Plans
     BlueChoice Plans
     BlueChoice Solution Plans
     Federal Employee Plans
Beechstreet
CappCare
CCN
Costal Comp Healthcare Network
DirectCare America
Evolutions Healthcare Systems
First Health Network
Focus Healthcare
Fortis (now part of Accountable)
Galaxy Network
Healthsmart Preferred Care
Healthstar PPO
HHPO
Humana
     ChoiceCare Network
     PPO Plans
Integrated Medical Systems
John Alden Health Plans (part of Accountable)
Managed Healthcare Inc.
MedCorp Southwest, Inc.
Medical Control Inc.
National Healthcare Alliance
Newton Healthcare
National ChoiceCare
ProNet
Provider Alliance of Central Texas
San Antonio Employer's Health Alliance
Texas Municipal League (TML)
Texas Integrated Health Network
Texas True Choice
United Healthcare
USA MCO
USC Health Services


OUT-OF-NETWORK CARRIERS

Some the Insurance networks that Dr. Perryman does not participate in include; Multiplan, Unicare, Aetna, Cigna (via Multiplan or direct).  This list is not exhaustive and there are other plans that we do not accept as In-Network.

Patients covered under these carriers health plans may be seen with a signed Private Pay Agreement. Please understand that because Dr. Perryman does not participate with these carriers, she will not obtain or issue any insurance carrier required Prior Authorization's (i.e. for Radiology services such as MRI's and CT's), Pre-Certifications (i.e. for hospitalizations), Drug Formulary Variance Request, or any other type of "Insurance Carrier administrative referrals / certifications / authorizations". This means that your insurance may not cover services recommended by Dr. Perryman and provided by other providers whether the other provider is In-Network or not. Dr. Perryman will issue physician to physician referral letters and appropriate physician to physician correspondence.

In order to maximize your insurance benefits it is best if you seek care from an In-Network Provider.

Dr. Perryman is NOT accepting new patients with Medicaid, CHIP or TRICARE coverage. Due to government rules, regulations and restrictions our office does not offer Private Pay arrangements for individuals covered by these government entities.

CONTRACT UPDATES

Multiplan, Inc (Includes Admar, ProAmerica, Up&Up and Private Healthcare Systems (PHCS)

Notified August 2008 that effective retroactively to July 1, 2008 current contract was cancelled. Along with notification providing a new contract at 80% of previous contracted reimbursement rates. As everyone knows, cost have continually been rising recently and there is no way we can agree to a 20% cut in reimbursement rates. Therefore, we have not accepted the new contract. We will see how Multiplan, Inc. treats our practice in the future, however we believe that we are Out-of-Network and that anyone with this insurance will be treated on an Out-of-Network basis.

AETNA Insurance

June 2009, Cursory review of contract shows there are lots of areas that need to be addressed.  We are sending the contracts to our attorney for review.  Fee schedule is very inadequate.  Sent preliminary note to Area Rep that the contract and fee schedule would require a lot of modifications.  He has indicated that Aetna would be willing to review the changes.  "I guess this indicates that they might actually be willing to negotiate a contract with us.  However, I do not hold my breath, as they may just be trying to humor us so they can paint us as the bad guy later on. (personal opinion of Kevin Perryman).

May 2009, restarted the credential process with Aetna, received preliminary contract and a fee schedule.

April 2009, contacted by a "New Area Representative" wanting us to contract with Aetna.

April 2007,no response to February letter. Sent letter to Aetna in follow-up requesting update on status

Feburary 2007,sent letter to Aetna requesting clarifications and begin process of negotiating reimbursement rates

January 2007, discussed contract terms with Aetna representative on phone. Sent to attorney for review

December 2006, received contracts

November 2006, notified Dr. Perryman was credentialed. Asked for contracts to be forwarded

Contacted Aetna several times from December 2005 through April 2006. Finally, was told a contract would not be sent out until Dr. Perryman was credentialed with their company. Began credentialing process through Committee on Quality and Affordable Healthcare (CQAH)

December 2005, several patients with insurance change to Aetna. Contacted Aetna to restart process

Our office did not communicate nor followup on any regular basis after December 2003

December 2003, resent letter from July 2003

November 2003, informed by Aetna no information on file regarding Dr. Perryman

July 2003, sent letter requesting clarifications to contract and reimbursement rates

June 2003, received contract in mail

Janauray 2003, sent request to Aetna for credentialing and contracting

UNICARE Life and Health Contract

April 24, 2007, spoke with Houston rep for area and told counter-offer letter received on April 13, and had been forwarded to the Network Manager for review. He will contact us.

April 5, 2007, prepared and mailed letter to Unicare regarding contract changes and providing counter-offer to proposed reimbursement rates.

April 5, 2007, notified that Unicare cancelled contract with Bapitist Healthcare System Physician Hospital Organization, our provider for access to Unicare contract. Unicare sent notification along with new contracts for review.