Insurance Pre-cert Guidelines

Employees and dependents covered by the following health plans MUST first pre-authorize behavioral health services.

Health Plans Requiring EAN Authorization (Effective: 01/01/10)
(Client's Portion of Charges - Out-patient visits)

Biltmore Company
Insurance-Wells Fargo - TPA, PO Box 3262, Charleston W. VA 25331-3262, Attn: Donna Bean, 1-800-624-8605, FAX 304-353-7636 Co-pay Indiv-$25, Group-$10; MH-20 visits per benefit period (7/1-6/30); SA - No day limit. Group #5321

Blue Ridge Regional Hospital
Insurance - Cigna HealthCare, PO Box 5200, Scranton PA 18505-15200, Phone: 800-882-4462, CDH Plan - $3,000 ded., 70% (may have money in HRA account to pay); PPO Plan - $40 co-pay - Group# 3331157

CarePartners
Asheville Specialty Hospital, Mountain Area Hospice, MountainCare, Mountain Technologies, Thoms Rehabilitation Hospital, Visiting Health Professionals, - Insurance: Wells Fargo, Attn: Donna Bean, PO Box 3262, Charleston, West Virginia 25331-3262, 800-624-8605 FAX: 304-353-7636, (No deductible, Individual -$30 co-pay per visit, Group-$20 co-pay). Group # 6045

City of Asheville
Insurance-Coresource, Inc.; PO Box 2920, Clinton IA 52733-2920; 1-866-433-0318. (High Option) -MH & SA - $30.00 Co-pay, then 100%; (Standard Option) - MH & SA - 20% of approved amount; $1,200 ded. (Premium Option) - 20% of approved amount; $300 ded; 30 visits per benefit period (7/1 -6/30) Group# 5027

Grove Park Inn Resort & Spa
Insurance-Primary Physician Care, Inc., P O Box 11088, Charlotte NC, 28220-1088; Attn: Jeri Poucher, 1-800-446-5439, FAX 704-945-1161 ($35 co-pay per visit) Group # 175

MAHEC
Insurance-Wells Fargo - TPA P O Box 3262 Charleston W. VA. 25331-3262, Attn: Donna Bean, 1-800-624-8605, FAX 1-304-353-7636, (Two Plans - Gold Plan-$1000 deductible, individual $25 co-pay + 20% of approved amount; Platinum Plan-$300 deductible individual $25 co-pay +20% of approved amount. Group # 5561

Mission Hospitals
Insurance-Cigna HealthCare, P O Box 5200, Scranton, PA 18505-15200, Phone: 800-882-4462, CDH Plan - $3,000 ded., 70% (may have money in HRA account to pay); PPO Plan - $40 co-pay Group# 3331157

McDowell Hospital
Insurance-Cigna HealthCare, P O Box 5200, Scranton, PA 18505-15200, Phone: 800-882-4462, CDH Plan - $3,000 ded., 70% (may have money in HRA account to pay); PPO Plan - $40 co-pay Group# 3331157

Pardee Memorial Hospital
Insurance-Wells Fargo - TPA, Attn: Donna Bean, PO Box 3262, Charleston West Virginia, 25331-3262, 800-624-8605, FAX: 304-353-7636 ($300.00 deductible, OP MH 50%, CD 20%of approved amount Group # 5335

Transylvania Community Hospital
Insurance-Wells Fargo - TPA, PO Box 3262, Charleston West Virginia, 25331-3262, 800-624-8605 FAX: 304-353-7636 ($300 deductible 50% of approved charges.) Group # 5485

In order to pre-authorize behavioral health services (for example: services from a psychiatrist or psychological therapist), contact EAN at (828) 252-5725 in Asheville or (800) 454-1477 outside of Asheville.

Upon contacting EAN, we will arrange for you to speak with an EAN staff counselor who will assist you with the pre-certification process.