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.
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.
2. Our contracted Payors/Insurance Companies/Networks—it’s YOUR CHOICE.
Listed below are the ACU-CARE contracted Payors/Insurance Companies/Networks.
*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
Rates:
If you wish to participate with Cigna PPO please click on the Contract Summary below, complete the document and return it with your Application.
Payor Name: Cigna HealthCare of California (“Cigna”)
Product: Group Health, CIGNA HMO
Rates:
If you wish to participate with Cigna HMO please click on the Contract Summary below, complete the document and return it with your Application.
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.
PPO Name: Coventry Health Care
Products: (Offerings exclude Auto and P.I.)
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
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.
PPO Name: HealthSmart Network
Products: (Offerings exclude Auto and P.I.)
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
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.
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:
If you wish to participate with Multiplan please click on the Contract Summary below, complete the document and return it with your Application.
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:
OR
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.
3. Fees
Note:
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.