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What is Corphealth?
Corphealth was founded in 1987 as
a managed behavioral health care and employee assistance
(EAP) company. Since this founding, Corphealth has expanded
services to become a leader in behavior-based health
and productivity solutions. These product advancements
have made Corphealth a complete resource for clients
who are seeking both traditional and innovative solutions
to address insurer and employer behavioral and benefit
associated concerns. Many employers and nationwide insurers
contract with Corphealth to arrange for and administer
their Mental Health/Substance Abuse and Employees Assistance
Programs because of our expertise in behavioral health.
Corphealth has also designed and implements programs
for health advocacy, behavioral health disease management
and work-life as well a customization of all of these
programs to meet the needs of the specific employee/member
population.
Corphealth is owned by behavioral health care professionals
and managed by professionals with extensive experience
in all facets of the behavioral health care and insurance
field. Corphealth has resources in all product areas
offered, including a proprietary network of physicians,
and other behavioral health care professionals, and
facilities to offer programs around the country, providing
care for the needs of the people Corphealth serves,
regardless of where they live.
What
types of benefit plans can Corphealth manage?
Corphealth currently serves a wide
range of benefit plan options including as much as 10,000
permutations of benefits per account. Plans under management
include those in traditional or managed indemnity, PPOs,
HMOs and employer-customized programs. One of the significant
differences between Corphealth and other behavioral
health administrators is Corphealth never requires a
purchaser to change their benefit plan. Corphealth manages
by the benefit plans you already have in place. As an
additional benefit, Corphealth works with your compliance
department or consultant to insure your plans meet management/administrative
criteria according to law/regulations.
What will Corphealth do for my employees or plan members?
Corphealth is a leader in addressing
the needs of individuals who require mental health and
chemical dependency (behavioral health) services. Corphealth
manages all processes surrounding the delivery of a
behavioral health benefit for an insurer, healthplan
or employer.
Behavioral Health is typically a difficult and sensitive
area to make decisions about. Often people are not sure
if a professional is required, or which type of provider
would be best for their circumstances. People are reluctant
to share information about their private or family lives
with non-professionals or worksite human resource departments.
At Corphealth, we are sensitive to these issues, so
we do all we can to help people understand their behavioral
benefit, and how to access it in an appropriate manner.
When employees or members call the 800 number, benefits
are confirmed and they are directed to the appropriate
resource according to their benefit plan coverage. A
licensed professional discusses with the member the
details of the services, which may be required. If they
are eligible for an EAP benefit, the caller may be directed
to resources in their community, or to a member of the
Corphealth network knowledgeable in providing EAP services.
If the presenting problem involves a mental illness,
chemical dependency or more immediately serious situation,
the caller is referred to a mental health facility and
or provider in their area.
Usually there is a Corphealth credentialed professional
(physician psychiatrists, psychologist, social worker,
marriage and family therapist) close to the member's
work or home with the specific training to address the
presenting situation. If dependent children are covered
and require care, for example, we will locate a pediatric
mental health professional nearby and offer a referral.
A list of providers may be accessed through the Corphealth
website as well. Preferences such as age, sex, ethnicity
or language needs can be addressed as well as location.
When your company has contracted with Corphealth you
can have confidence that professionals we have selected
are licensed, credentialed, contracted and willing to
provide care to your employees or members.
Corphealth requires that treating professionals (inpatient
and outpatient) offer defined treatment plans that reflect
the needs of the individual, the benefit plans and the
condition they are presenting in the most effective,
efficient, least-invasive manner possible. Important
to the process is that Corphealth has a significant
focus on improving services while maintaining a balance
which reflects the needs of purchasers, patients and
providers in a balanced program.
How do employees or members contact Corphealth?
Corphealth can be reached through
an exclusive toll free 800 number, 7 days a week, 24
hrs a day, 365 days a year from anywhere in the United
States. Through this number, we help members understand
their benefits, select a provider or other resource,
or answer claims questions or any other questions they
may have.
Does arranging with Corphealth to handle
the mental health or behavioral health care portion
of the health plan change the employee's relationship
with the company that is handling their medical benefit?
No. Benefits are contracted for in
the Certificate of Insurance and are unchanged once
Corphealth assumes management of the behavioral healthcare
portion. We do ask members to call Corphealth regarding
their mental health and substance abuse benefits instead
of calling the insurer directly. We work closely and
collaboratively with other companies handling the other
aspects of the employees' health plans in order to provide
an experience of seamless service for health plan members.
What if an employee has an emergency?
As with any Life-Threatening situation,
members should always call 911 or go to their nearest
emergency room immediately.
What if a Corphealth provider is not available in an
area?
Although this is unlikely, if there
is not a Corphealth network provider in a particular
area, we will assist the member in finding service and
Corphealth will cover the appropriate service without
a loss of level of benefit.
Is Corphealth accredited in any way?
Yes. Corphealth holds a number of
designations in states across the country. Regarding
Utilization Management (Clinical Programs) we have been
accredited by the American Accreditation of Healthcare
Commission (URAC). Corphealth has the required filings
for such areas as TPA to pay claims and can work within
virtually any requirement you may have.
Are
Corphealth's systems integrated or multiple platforms?
Corphealth’s Dimension
system is the most advanced in the industry and operates
on a single platform. Corphealth’s system is fully
integrated, encompassing all provider, claims, utilization/clinical
files, as well as other treatment and financial information
in one source.
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