We are pleased that you are interested in joining ACU-CARE, the only network owned and operated by Acupuncturists, where you’ll get fair reimbursement rates and supplier and merchant discounts and caring customer service.

We have tried to make the application process straightforward and clear, but if you have any questions about joining our network please e-mail us at acucare@acucare.com.

To get started just follow the steps below. Please read and follow these FOUR STEPS below to submit a complete application for membership in the ACU-CARE network.

1.  Documents you will need to complete, scan (as a PDF) and email to acucare@acucare.com 

Note: Links to cloud accounts will not be accepted.
Note: Electronic signature will not be accepted.

    • Credentialing Application
    • Agreement
    • Authorization and Release
    • W9 FORM
    • Cigna-Choice-Letter-2016  (NOTE: This is NOT the Cigna Contract. Go to #2 below and Click on Cigna PPO or HMO and scroll to the bottom of the information on the right for the Contracts.)
    • Payment (NOTE: Once we receive the application we will respond with an email which contains a link for online payment).
    • Professional Liability Certificate of Insurance declarations page (NOTE: Must provide coverage of 1 Million each occurrence and 3 Million aggregate
    • General Office Liability Insurance declarations page (NOTE: Must provide coverage of 1 Million each occurrence and 2 Million aggregate and must show the address covered) 

Please Note: Premises Liability Coverage (Slip and Fall):  It insures your legal liability for injuries to patients or members of the public sustained at your office premises, such as a slip and fall claim. The coverage does not insure any personal property you own or lease. 

    • Curriculum Vitae or Resume’ (NOTE: Please refer to the Check List as it provides an outline of the information that is needed)
    • Application Check List (NOTE: Please PRINT this document as a guide)

2. Our contracted Payors/Insurance Companies/Networks—it’s YOUR CHOICE.

Listed below are the ACU-CARE contracted Payors/Insurance Companies/Networks.

  • If you want to participate as an in-network provider with a particular company, click on the link described as “Contract Summary”, print, sign and date the document.
  • Please submit the signed contracts with your application paperwork.
  • If you are not familiar with some of the companies, you can learn more about them by going to their individual websites by clicking on the link below.
  • You can add or remove a contracted company via ACU-CARE at any time. This can be done by sending an email to Acu-Care to make your request—but remember, to add or delete a company will take time and the change will not be effective immediately.

*Please be aware Cigna can take approximately 60 business days or more to process our request to add you into their directory. 

Payor Name: Connecticut General Life Insurance Company (CGLIC)

Product: Group Health, CIGNA PPO

Cigna Medical Coverage Policy

Rates:

  • 97810 Acupuncture, first 15 minutes $57.00
  • 97811 Acupuncture, Reinsertion $38.00
  • 97813 Acupuncture with elecrtical stimulation, first 15 min. $66.00
  • 97814 Acupuncture with electrical stimulation, reinsertion $44.00

If you wish to participate with Cigna PPO please click on the Contract Summary below, complete the document and return it with your Application.

CIGNA PPO Contract Summary

www.cigna.com 

Payor Name: Cigna HealthCare of California (“Cigna”)

Product: Group Health, CIGNA HMO

Cigna Medical Coverage Policy

Rates:

  • 97810 Acupuncture, first 15 minutes $57.00
  • 97811 Acupuncture, Reinsertion $38.00
  • 97813 Acupuncture with electrical stimulation, first 15 min. $66.00
  • 97814 Acupuncture with electrical stimulation, reinsertion $44.00

If you wish to participate with Cigna HMO please click on the Contract Summary below, complete the document and return it with your Application.

CIGNA HMO Contract Summary

www.cigna.com 

PPO Name: CorVel

Product: Workers’ Compensation

Rates: Provider agrees to accept as payment in full, reimbursement for covered health care services, the lesser of 90% of usual charges, 90% of usual and customary prevailing rates or 90% of amounts based on the current state applicable Workers’ Compensation Medical Fee Schedule as amended from time to time.

If you wish to participate with Corvel please click on the Contract Summary below, complete the document and return it with your Application.

CORVEL Contract Summary

www.corvel.com 

PPO Name: Coventry Health Care

Products:  (Offerings exclude Auto and P.I.)

  • Coventry National – Group Health, Commercial Product
  • Coventry Worker’s Comp Services – Worker’s Comp Product
  • First Health (A Coventry Health Care Company) – Group Health, Network Access Product.

Rates: Applicable for Group Health and other Payment Programs other than Workers’ Compensation: Services shall be reimbursed at 90% of Current Year CMS RBRVS, with GPCI gap filled, for all services, except for those services defined below.

Procedure Carve Out Codes

  • 99203 Initial Office Visit $97.74
  • 99213 Office Visit $65.83
  • 97810 Acupuncture, first 15 min. $33.12
  • 97811 Acupuncture reinsertion $24.83
  • 97813 Acupuncture Electro Stim $35.35
  • 97814 Acupuncture Electro Stim reinsertion $28.22
  • 97010 Hot/Cold $4.50
  • 97026 Heat Lamp $6.00
  • 97110 Therapeutic Exercise $32.00
  • 97140 Tui-na, Massage $30.00

For Workers’ Compensation:

90% of the official California Workers’ Compensation medical fee schedule.

If you wish to participate with Coventry Healthcare please click on the Contract Summary below, complete the document—make sure you check the boxes only for the Coventry products you wish to participate with—and return it with your Application.

COVENTRY HEALTHCARE Contract Summary

www.coventrywcs.com 

PPO Name: HealthSmart Network

Products:  (Offerings exclude Auto and P.I.)

  • Group Health
  • Workers’ Compensation
  • Other payment programs

Rates: Applicable for Group Health and other Payment Programs other than Workers’ Compensation: Services shall be reimbursed at 90% of Current Year CMS RBRVS, with GPCI gap filled, for all services, except for those services defined below.

Procedure Carve Out Codes

  • 99203 Initial Office Visit $121.90
  • 99213 Office Visit $79.12
  • 97810 Acupuncture, first 15 min. $49.01
  • 97811 Acupuncture reinsertion $37.81
  • 97813 Acupuncture Electro Stim $52.52
  • 97814 Acupuncture Electro Stim reinsertion $42.37
  • 97010 Hot/Cold $6.45
  • 97112 Neuromuscular Re-education $36.28
  • 97139 Unlisted Therapeutic Procedure $21.08

For Workers’ Compensation:

85% of the official California Workers’ Compensation medical fee schedule.

HealthSmart is not a payor.

If you wish to participate with HealthSmart please click on the Contract Summary below, complete the document and return it with your Application.

HEALTHSMART Contract Summary

www.healthsmart.com 

PPO Name: MultiPlan, Inc.

Products: Primary PPO (Excluding Workers’ Compensation, Auto and P.I.)

Rates: Practitioner shall accept as payment in full the lesser of practitioner billed charge or the amount set forth as follows:  % Medicare current year RBRVS: Evaluation and Management 110%.  For non-medicare & non-listed codes: 50% off billed charges

The following CPT codes are reimbursed as follows:

  • 97810 Acupuncture, first 15 min. $50.57
  • 97811 Acupuncture, reinsertion $38.86
  • 97813 Acupuncture, Electro Stim $54.08
  • 97814 Acupuncture, Electro Stim reinsertion $43.93

If you wish to participate with Multiplan please click on the Contract Summary below, complete the document and return it with your Application.

MultiPlan Contract Summary

www.multiplan.com 

PPO Name: Prime Health Services

Products: Workers’ Compensation, Group Health, and Auto Liability

Rates:

Provider agrees to accept reimbursement for Covered Services rendered to Covered Persons at the following tiered rates for each of the product lines described in 4.0 of the PHS Provider Terms and Conditions Booklet.

For all applicable Payor Programs Provider will be paid the lesser of the schedule below:

  • 90% of the Submitted Billed Charge

OR

  • 90% of any maximum allowable rate specified by federal or state schedule or law.

Standard Terms & Conditions: Before signing the payor summary, provider agrees to go on line to access the Booklet by logging into the secure provider portal www.primehealthservices.com. The Booklet found at: www.primehealthservices.com/media/219938/phs-provider-agreement-booklet-v130.pdf is incorporated into this Agreement by reference and its terms and conditions are non-negotiable in regards to this Agreement and the relationship with PHS. Provider is also responsible for logging into the site to review PHS’s Client Directory as it may change periodically.

If you wish to participate with Prime Health Services, please click on the Contract Summary below, complete the document and return it with your Application.

PRIME HEALTH SERVICES Contract Summary

www.primehealthservices.com 

3.  Fees

Note:  

  • $50 Application processing fee.
  • $300 Annual Membership fee.
  • $100 Site inspection fee — for each location.

Effective November 1, 2018:
Early Termination:  Refunds may be available for early termination and are based on your Annual Membership Fee and Date of Notification.  All Early Termination Refunds will incur a handling fee of $50.  It is to your benefit to notify us as soon as possible.  Please contact us via email
at acucare@acucare.com 

Effective December 1, 2019:
Late Payments & Termination:  Acu-Care Members have an Annual Membership Due Date and Fee.  Paperwork and payment should be received in our office in a timely manner in meeting this obligation per Acu-Care’s Provider Agreement. Past Due accounts will have a $50.00 late fee applied to your account.  It is to your benefit to notify us as soon as possible. Please contact us via
email at acucare@acucare.com 

Effective February 1, 2021:
Site Inspection: The site inspection fee has increased from $60.00 to $100.00 per site inspection.

Effective March 15, 2021:
Late Payments & Termination: Acu‐Care Providers have an Annual Membership Renewal Date and an Annual Renewal Fee which is payable on each anniversary date of their ACU‐CARE membership. Paperwork and payment of that annual fee should be received by our office in a timely manner in order to meet the Member’s obligations under the ACUR‐CARE Health Care Provider Agreement. Past due accounts will be subject to a $50 late fee. Moreover, ACU‐CARE, in its sole discretion, may terminate a Provider’s membership for cause, if membership fees, or if applicable, any applied late fees, are not timely made. Should a Provider wish to terminate the Membership in lieu of paying a renewal fee, the Provider must give ACU‐CARE thirty (30) days advance written notice of such intent to terminate before the anniversary date of the Provider’s membership. Such notice may be given via electronic mail at acucare@ acucare.com.

4. Where to submit your application.
ACU-CARE
Email: acucare@acucare.com
(Note: Documents can be attached to the email as a PDF or Word format)
(Note: Links to cloud accounts will not be accepted)

COVID19: In response to current COVID-19 pandemic our office may take longer than usual to process your email. However, rest assured we are working to process your requests.  If you have any concerns please send a detailed email to acucare@acucare.com and we will respond as soon as possible.