Provider Information

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

Health Plans Requiring EAN Authorization (Effective: 01/01/06)
(Client's Portion of Charges - Out-patient visits)

Biltmore Company
Insurance-Wells Fargo, PO Box 3262, Charleston W. VA 25331-3262, Attn: Donna Bean, 1-800-624-8605, FAX 304-353-8773; (Plan-Low Option) Co-pay Indiv-$25, Group-$15; (Plan-High Option) Co-pay Indiv.-$15, Group-$5; 20 visits per calendar year. Group #5321

Blue Ridge Paper Products, Inc.
Insurance-Benefit Management Services, P O Box 1178, Matthews, NC 28106; Attn: Rita Legan; 1-800-228-1803 FAX 704-845-5629 (Mental Health) PPO Plan -$25 co-pay; EPO Plan $30 co-pay; no ded: (Substance Abuse - $10 co-pay) 30 visits per calendar year. Group # 180

CarePartners
Employees of Asheville Specialty Hospital, Mountain Area Hospice, MountainCare, Thoms Rehabilitation Hospital, Visiting Health Professionals - Insurance: Wells Fargo, Attn: Donna Bean, PO Box 3262, Charleston, West Virginia 25331-3262, 800-624-8605 FAX: 304-353-8773, (No deductible, Individual -$30 co-pay per visit, Group-$20 co-pay). Group # 6045

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; 30 visits per calendar year) Group # 175

MAHEC
Insurance-Wells Fargo, P O Box 3262 Charleston W. VA. 25331-3262, Attn: Donna Bean, 1-800-624-8605, FAX 1-304-353-8773, (Two Plans - Gold Plan-$1000 deductible per individual; Platinum Plan-$300 deductible per individual. Group # 5561

McDowell Hospital
Insurance-Wells Fargo, P O Box 3262, Charleston, WV 25331-3262; Attn: Donna Bean, 1-800-624-8605, FAX: 304-353-8773, Choice Plan: (no deductible, no co-pay; Plan covers 100% for outpatient behavioral health) Group # 5595

Mission Hospitals
Insurance-Wells Fargo, Attn: Donna Bean, PO Box 3262, Charleston West Virginia, 25331-3262, 800-624-8834, FAX: 304-353-8773 Network Plan: ($100 Ded., Indiv $30 co-pay; Grp-$15 co-pay; Choice Plan: (no deductible, no co-pay, Plan covers 100% for outpatient behavioral health) Group # 5595

Pardee Memorial Hospital
Insurance-Wells Fargo, Attn: Donna Bean, PO Box 3262, Charleston West Virginia, 25331-3262, 800-624-8834, FAX: 304-353-8773 ($300.00 deductible, OP MH 50%, CD 80%, 30 visits per calendar year.) Group # 5335

Sisters of Mercy Services (Urgent Care)
Insurance-Wells Fargo, Attn: Donna Bean, PO Box 3262, Charleston West Virginia, 25331-3262, 800-624-8834, FAX: 304-353-8773 (No deductible, $30 co-pay per visit.) Group # 7335

Spruce Pine Hospital
Insurance-Wells Fargo, PO Box 3262, Charleston W Va. 25331-3262; Attn: Donna Bean, 1-800-624-8605 FAX 304-353-8773 ($100 Ded, Indiv. $30 co-pay; Grp $15 co-pay) Group # 5595

Transylvania Community Hospital
Insurance-Wells Fargo, PO Box 3262, Charleston West Virginia, 25331-3262, 800-624-8605, FAX: 304-353-8773 ($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.