National Provider Alliance Information

The National Provider Alliance (NPA) was approached by the Association of Surgical Assistants to come up with a way for independent surgical assistants to be able to contract with major independent insurance companies. he objective of this collaborative effort is to offer surgical assistants a chance to be paid for independent surgical assisting services in an insurance-entity recognized network. On a monthly basis, ASA will send a list of current Surgical Assistants to NPA to confirm eligibility for the network. NPA executives have worked closely with the managed care industry over the past few decades and have extensive knowledge of what it takes to build solid networks. This knowledge also enables us to negotiate more competitive reimbursement rates that would otherwise not be possible if done on an individual basis. Our services to you will include negotiating contracts with the managed care plans, billing the managed care plans on your behalf, and the collection and disbursement of timely payments to you. lthough we provide a billing service, you will retain the option of continuing to use your current billing company.Details of how the new process will work are provided in the billing section of this welcome packet. Our ability to organize, negotiate, bill and collect as a single entity makes us extremely attractive for managed care plans to contract with NPA. his type of model and approach will result in significant administrative savings for the managed care plans because they would be working with one large entity as opposed to contracting individually with numerous surgical assistants. his model has proven to be very successful for primary care physicians, specialists, and ancillary services. To date, we have worked with the surgical assistants in Florida and currently have a contract with Cigna and it is our goal to do the same in other states!The terms of the contract are listed in the Individual Provider Agreement. e strongly recommend that the financial terms of the contract be kept confidential. hould the minimum compensation (as outlined in the Provider Agreement) not be met, the Provider Agreement will then become null and void. t is our intention to obtain the highest reimbursement rate on behalf of the surgical assistants but in order to do that we need to show that we have a large network of surgical assistants that want to participate. To participate in this network, we have enclosed the following documents:Provider Agreement between NPA and the individual surgical assistant.Billing Package which contains information necessary to receive and process Cigna claims and a description on how the process will work (you will also need to enter your National Provider Identifier -NPI- in this section. f you do not have one, please go to: https://nppes.cms.hhs.gov/NPPES/Welcome.do and apply online. t takes about 10 minutes to apply and then you will be emailed your number shortly after submitting the information).