How it works Getting Started with Accarent
The Accarent Health web platform provides access to transparent pricing options and high-quality care providers, when considering a surgical procedure or medical treatment.
Contact Accarent at 1-866-771-0697 or casemanagement@accarenthealth.com.
Administrators
Our Program
Register and log-in to gain access and browse the providers, services, prices and plan designs that are offered. Case managers will also be available to coordinate referral, consult and procedure scheduling with the provider chosen.
Process Snapshot.
- Search services and compare pricing
- Register to become a user
- Contact the Accarent Care Team at casemanagement@accarenthealth.com to register a patient, inquire about a service, or register a patient through our web portal.
- Upload medical records
- The provider reviews the patient's medical records
- A Case Manager contacts the patient to schedule either a consult or a service based on the medical record review
- Manage registered patients through dashboard.
There are three ways to begin the service search:
- To search by service: begin with "Search Services".
- To search by categories of offered services: begin by "Search Our Medical Care Specialties".
- To search by provider: begin with "Search Our Network of Providers".
Search Services and Compare Pricing:
Search Offered Services:
Search By Provider:
If you want to search by Service...
First select the Patient Type, either Adult or Child. The age threshold for adult or child may differ for each provider.
Next enter service type.
Next enter service code.
Next enter your location.
Next hit "Find Results".
After user registration and login prices can be viewed.
Accarent offers one of the most robust selections of medical services available. We currently have over 120 services offered by top-rated providers across the country, from common knee and hip replacement, to complex organ transplant.
Visit our homepage to view our growing list of available services.
Here is a list of participating providers across the country. Do not see a provider of interest? New providers are continuously added to the Accarent network. Please use our ‘Subscribe to our Newsletter’ feature to receive the most current updates.
Network Credentialing is based on a combination of outside credentialing and rating agencies established in conjunction with Johns Hopkins Hospital. The quality standards are both a quantitative and qualitative analysis of those rating agencies combined with geographical criteria to develop a comprehensive national quality network.
Tethys Health Ventures is a network affiliate, in conjunction with Accarent Health, they will provide valuable case management, advocacy, and claim management services to you during your episode of care.
Our Process
Some complex surgical services require consultation or evaluation with the provider where the service is to be completed. If previous medical records are available, they can be uploaded to a secure portal on the patient's profile or sent to a nurse case manager to assist with facilitation. Accarent will send the records to the provider for physician review. Additionally, Accarent case managers can help schedule appointments for consultations, evaluations, and surgical procedures. They can also help the patient get in touch with the provider directly to schedule care.
Medical records can be uploaded directly on the Accarent Health website, through a HIPAA compliant secure portal, within the patient profile. If you are unable to upload the medical records, you can fax to our secure fax number (410) 771-0696 or via secure email at medicalrecords@accarenthealth.com.
Accarent’s Concierge team will connect patients with lodging options and transport services in the area of the provider that is selected. The patient will be responsible for booking travel and lodging plans.
Contact Accarent’s Case Management Department directly via telephone at 1-866-771-0697 or via secure e-mail at casemanagement@accarenthealth.com with any questions on travel and lodging options.
Yes! It is recommended a patient have a support person accompany them to their service.
Accarent's Care Team can connect patients with lodging options in the area selected. Please contact Accarent’s Case Management Department directly via telephone at 1-866-771-0697 or via secure e-mail at casemanagement@accarenthealth.com.
Sometimes when a surgical procedure is being performed, the surgery may require a deviation from the initial clinical pathway discussed during the patient’s consult or surgical evaluation in order to achieve the best outcome. The procedure the patient needs for the best outcome will be performed and covered by the health plan.
The Letter of Agreement (LOA), includes pricing for related surgeries in the event that it is determined that a related procedure is in the best interest of the patient. Additionally, those services outside of the bundled rate will be repriced by Accarent at the agreed upon rate and paid by the health plan.
Coverage
Accarent's Care Team can assist you with lodging and transportation provider information in the area of the selected provider.
An optional travel benefit can be selected when the patient is registered for a service. The elective benefit, can be chosen for both the evaluation and service, and has a variety of options from $500-$10,000 to suit diverse needs.
The travel benefit is paid to the patient once the consultation, evaluation or service is completed. It is not necessary to send receipts to Accarent, to receive the travel stipend.
The Travel and Lodging benefit will be paid to the patient once the service has been completed. Accarent will send a check to the patient or guardian directly. Accarent does not require receipts to be sent for the payment to be released. After the service is completed and claim paid, Accarent will send a check to the patient or guardian directly.
The provider will contact the patient to schedule a time for consult. Please contact Accarent’s Case Management Department directly via telephone at 1-866-771-0697 or via secure e-mail at casemanagement@accarenthealth.com, if the provider has not made contact.
The provider will contact the patient to schedule a time for your service. Please contact Accarent’s Case Management Department directly via telephone at 1-866-771-0697 or via secure e-mail at casemanagement@accarenthealth.com, if the provider has not made contact.
If a service has been scheduled and needs to be cancelled, an Accarent advocate will either be notified by the provider or the patient. The Accarent advocate can assist in rescheduling the service at another time. Depending on when the service is rescheduled, the Letters of Agreement, eligibility check, and other patient documents may require re-verification. The provider may request an updated consultation or evaluation.
The assigned Accarent Care Team advocate will assist the patient through the entire episode of care, and coordinate any follow up services and billing.
The patient and companion will need to bring the signed Letter of Agreement or their Accarent Identification Letter along with their insurance card with them when checking into the provider for the evaluation/consultation and procedure/service.
The patient will receive an Accarent Identification Letter. This letter will be presented at admission to help ensure proper billing. Patient name, service, provider and Accarent Health information will be provided in this letter. The patient will also need to bring their insurance card.
Transition Home
If there are any emergent medical issues once the patient has returned home, they should call their local physician or 911. If they have administrative questions or general medical questions, they can contact their Accarent advocate. They can also contact the provider directly regarding medical issues.
Each Accarent service includes a per diem amount in the event that the patient’s provider stay exceeds the length of stay offered in the service bundle. Accarent case managers will continue to be the patient’s advocate until the patient returns home and is transitioned back to their referring provider.
The Accarent Care Team will assist as the liaison between the center and your insurance company for post service needs.
Yes, the patient will receive a Patient Packet which will include HIPAA Forms and Medical Release Forms. Once this is completed, signed and returned to Accarent, your patient advocate will have the information needed to share patient information.
Payment Information
Accarent has negotiated rates and plan designs with the network providers for the services shown on the website. The patient should not be billed for any of the negotiated services beyond normal out of pocket payments within the Accarent benefit period as defined in the Letter of Agreement.
Accarent Health is billed directly for the services from the provider and will receive all claims. Accarent will then collect payment from the patient’s insurance carrier or plan administrator once the service has been completed. Accarent then pays the provider and physicians directly for the bundled rate.
An ACH transfer or check are the currently accepted forms of payment for the service.
Accarent Health provides patients and payers access to the Accarent Health Network website which publishes our negotiated prices with the participating providers upon registration. Once a patient has registered, and a service and provider have been chosen, insurance eligibility will be verified and the patient will be approved to begin the process.
Everyone’s insurance is different. A patient will need to check with their insurance benefits or plan administrator to determine if they have any out of pocket payments, deductibles or copays.
Accarent is no different than any other network or insurance carrier negotiated rate as far as deductibles and copayments are concerned. The insurance carrier or provider may ask for those payments. A patient should contact their employer or insurance carrier for any additional questions regarding specific out of pocket limitations.
There are two options, an employer can send the Accarent Health link to their employees and allow them to manage their own services, or designate a plan administrator to manage employee accounts as needed.
Yes! A patient can register for a service. The bundled payment will be requested and must be paid prior to the scheduled service date. If the service is cancelled the payment will be returned.
Individuals
Our Program
Browse the providers, services, and plan designs that are offered. Case managers will be available to coordinate referral, consult and procedure scheduling with the provider chosen.
Process Snapshot.
- Search services and providers
- Contact the Accarent Care Team at 1-866-771-0697 or casemanagement@accarenthealth.com to inquire about an Accarent service.
There are three ways to begin the service search:
- To search by service: begin with "Search Services".
- To search by categories of offered services: begin by "Search Our Medical Care Specialties".
- To search by provider: begin with "Search Our Network of Providers".
Search Services:
Search Offered Services:
Search By Provider:
If you want to search by Service...
First select the Patient Type, either Adult or Child. The age threshold for adult or child may differ for each provider.
Next enter service type.
Next enter service code.
Next enter your location.
Next hit "Find Results".
After user registration and login prices can be viewed.
Accarent offers one of the most robust selections of medical services available. We currently have over 120 services offered by top-rated providers across the country, from common knee and hip replacement, to complex organ transplant.
Visit our homepage to view our growing list of available services.
Here is a list of participating providers across the country. Do not see a provider of interest? New providers are continuously added to the Accarent network. Please use our ‘Subscribe to our Newsletter’ feature to receive the most current updates.
Network Credentialing is based on a combination of outside credentialing and rating agencies established in conjunction with Johns Hopkins Hospital. The quality standards are both a quantitative and qualitative analysis of those rating agencies combined with geographical criteria to develop a comprehensive national quality network.
Tethys Health Ventures is a network affiliate, in conjunction with Accarent Health, they will provide valuable case management, advocacy, and claim management services to you during your episode of care.
Our Process
Some complex surgical services require consultation or evaluation with the provider where the service is to be completed. If previous medical records are available, they can be sent to a nurse case manager to assist with facilitation. Accarent will send the records to the provider for physician review. Additionally, Accarent case managers can help schedule appointments for consultations, evaluations, and surgical procedures. They can also help you get in touch with the provider directly to schedule care.
Medical records can be faxed to our secure fax number (410) 771-0696 or via secure email at medicalrecords@accarenthealth.com.
Accarent’s Concierge team will connect you with lodging options and transport services in the area of the provider that is selected. You will be responsible for booking travel and lodging plans.
Contact Accarent’s Case Management Department directly via telephone at 1-866-771-0697 or via secure e-mail at casemanagement@accarenthealth.com with any questions on travel and lodging options.
Yes! It is recommended you have a support person accompany you to your treatment.
Accarent's Care Team can connect you with lodging options in the area selected. Please contact Accarent’s Case Management Department directly via telephone at 1-866-771-0697 or via secure e-mail at casemanagement@accarenthealth.com.
Sometimes when a surgical procedure is being performed, the surgery may require a deviation from the initial clinical pathway discussed during your consult or surgical evaluation in order to achieve the best outcome. The procedure you need for the best outcome will be performed.
The Letter of Agreement (LOA), includes pricing for related surgeries in the event that it is determined that a related procedure is in your best interest. Additionally, those services outside of the bundled rate will be repriced by Accarent at the agreed upon rate and forwarded to the payer of services for payment.
Coverage
Accarent's Care Team can assist you with lodging and transportation provider information in the area of the selected provider.
The provider will contact you to schedule a time for consult. Please contact Accarent’s Case Management Department directly via telephone at 1-866-771-0697 or via secure e-mail at casemanagement@accarenthealth.com, if the provider has not made contact.
The provider will contact you to schedule a time for your procedure. Please contact Accarent’s Case Management Department directly via telephone at 1-866-771-0697 or via secure e-mail at casemanagement@accarenthealth.com, if the provider has not made contact.
If your procedure has been scheduled and needs to be cancelled, please contact the provider. If you require additional assistance, the Accarent advocate can assist in rescheduling the procedure at another time. Depending on when the procedure is rescheduled, the Letters of Agreement, eligibility check, and other patient documents may require re-verification. The provider may request an updated consultation or evaluation.
The assigned Accarent Care Team advocate will assist you through the entire episode of care, and coordinate any follow up services and billing.
You and your companion will need to bring the signed Letter of Agreement or your Accarent Identification Letter with you when checking into the provider for the evaluation/consultation and procedure/service.
You will receive an Accarent Identification Letter. This letter will be presented at admission to help ensure proper billing. Patient name, service, provider and Accarent Health information will be provided in this letter.
Transition Home
If there are any emergent medical issues once you have returned home, you should call your local physician or 911. If you have administrative questions or general medical questions, you can contact your Accarent advocate. You can also contact the provider directly regarding medical issues.
Each Accarent service includes a per diem amount in the event that your provider stay exceeds the length of stay offered in the service bundle. Accarent case managers will continue to be the your advocate until you return home and are transitioned back to your referring provider.
The Accarent Care Team will assist as the liaison between you and the center for post service needs.
Yes, you will receive a Patient Packet which will include HIPAA Forms and Medical Release Forms. Once this is completed, signed and returned to Accarent, your patient advocate will have the information needed to share your information.
Payment Information
Accarent has negotiated rates and plan designs with the network providers for the services shown on the website. You should not be billed for any of the negotiated services beyond normal out of pocket payments within the Accarent benefit period as defined in the Letter of Agreement. If you receive a bill from the provider, please contact Accarent for assistance.
Accarent Health is billed directly for the services from the provider and will receive all claims. Accarent will then collect payment from the patient (self-pay), the patient’s insurance carrier or plan administrator once the service has been completed. Accarent then pays the provider and physicians directly for the bundled rate.
An ACH transfer or check are the currently accepted forms of payment for the service.
Accarent Health provides patients and payers access to the Accarent Health Network website which publishes our negotiated prices with the participating providers upon registration. Once a patient has registered, and a service and provider have been chosen, insurance eligibility will be verified and the patient will be approved to begin the process.
Everyone’s insurance is different. You will need to check with your insurance benefits or plan administrator to determine if you have any out of pocket payments, deductibles or copays.
Accarent is no different than any other network or insurance carrier negotiated rate as far as deductibles and copayments are concerned. The insurance carrier or provider may ask for those payments. You should contact your employer or insurance carrier for any additional questions regarding specific out of pocket limitations.
Yes! You can register for a service. The bundled payment will be requested and must be paid prior to the scheduled service date. If the service is cancelled the payment will be returned.
Once you decide you would like to access the Accarent Network of providers for a service and have registered with Accarent Health for the service, a Consult Letter of Agreement(LOA) & Self-Pay invoice will be sent to you for your review and signature with Accarent through docusign. A letter of agreement is a business document that explains and sets the terms between two parties, and includes details like agreed upon payments and timeline. Once the provider has reviewed your medical records and you’ve had a consultation, if you are a candidate for the bundled procedure, then a Procedure Letter of Agreement & Self-Pay Invoice will be sent for you to review and sign. Your LOA will be co-signed by Accarent Health.