Employee Assistance Network of North Carolina

CONNECT:
800.454.1477 800.454.1477
  • Home
  • About
    • Our Staff
    • What is an EAP?
    • Blog
  • Employers
    • EAP Services
    • Managed Care Services
  • Employees/Family
    • Tips for Communicating Effectively With Your Boss
    • Eight Tips to Help You Get Organized at Work
    • Survival Strategies for Single Parents
    • Combining Work and Family
    • Resources
    • Employee Forms
  • Managers/Supervisors
    • Training Options for Supervisors
    • Identifying Troubled Employees
    • Management Referral Guidelines
    • Frontline Supervisor
  • Providers
    • Levels of Care Criteria
    • Procedures for EAN Providers
  • Workshops
    • Workshops for Managers & Supervisors
    • Communications Workshops
    • Emergency First Responders
    • Workshops for Employees
  • Locations
    • Asheville
    • Hendersonville
    • Sylva
    • Waynesville
  • Contact

Procedures for EAN Providers

Effective January 1, 2011, all Employer Health Plans managed by EAN will have been amended to be compliant with the Mental Health Parity and Addiction Equity Act of 2008. EAN will use a case review and case management model which is a model based on an outlier system and is designed to be substantially equivalent to medical management models used for medical/surgical care.

New Clients and Active Established Clients

Effective January 1, 2011, providers will not be required to obtain pre-authorization before delivering services to clients whose health plan is managed by EAN.   Providers can file claims according to the usual procedures. As in the past, provider can contact EAN with any issues or questions.

Medication management will not be included in case reviews, all other EAN service codes will be subject to the review.  If providers have a question about service codes and reimbursement, we encourage them to contact EAN.

It is important to understand that sessions are counted by the third party administrator based on the accumulation of claims submitted by all behavioral health providers. Therefore, it may be helpful for providers to know if the health plan member is also being treated by another provider.

Health plan members will still be encouraged to obtain referrals from EAN so providers will still receive referrals directly from EAN clinical staff; however, health plan members will no longer be required to contact EAN prior to initiating services through their insurance.  Typically a provider will receive a phone call from the EAN clinician about the referral, or the health plan member will contact the provider directly.

Announcements

EAN welcomes our newest counselor, Misty Peterson

Misty Peterson, M.A., LPC is a Licensed Professional Counselor in the state of North Carolina. She has lived in the Asheville community since 2007, and holds a Master’s in Counseling from Southwestern College, in Santa Fe, NM. She has worked in the field of counseling for over a decade and her background and experiences are varied. She has provided individual, group, and family therapy services to children, adolescents, as well as adults, addressing issues related to stress, anxiety, anger, trauma, and depression. She has also worked as a Clinical Director overseeing several local behavioral health programs, and providing both operational and clinical supervision to a large team of professionals. In her role as a clinician, she maintains a focus on wellness, resiliency, and recovery. As a Counselor at EAN she offers assessments, provides referrals, conducts brief counseling and consultation services, and facilitates training.

Follow us on Facebook, Twitter and LinkedIn.

Learn More

  • EAN brochure (PDF)
  • Frontline Supervisor Newsletter
  • Balanced Living Newsletter

Testimonials

"Since becoming involved with EAN over thirteen years ago we’ve only experienced the greatest of services."

Patsy P. Dowling, Executive Director
Mountain Projects Community Action Agency

Read More

EAN Online

This is a service available to employees and family members of organizations that incorporate on-line services in their EAP contract.

Login

Locations

Asheville Office

Hendersonville Office

Sylva Office

Waynesville Office

Appointments

Want to make an appointment to see an EAN counselor?

Call 800-454-1477 and talk with the person who answers the phone. We will need to know the employer you or your family member has the EAN benefit through and some other demographic information to schedule your first appointment.

Insurance

Want to know who is in network to see a mental health provider through your insurance?

Call 800-454-1477 and talk with the person who answers the phone. We will need to know the employer who provides your health plan and if we manage the benefit, we will be able to connect you to an in network provider who specializes in the issues you want to work on.

EAP

Looking for an EAP?

Call 800-454-1477 and we will talk with you about the unique needs of your organization and how best to develop an Employee Assistance Program that meets those needs.

© 2011 - 2018 Employee Assistance Network of North Carolina | All Rights Reserved | Privacy Notice

Site by Asheville Web Fix