Provider Changes at Carolina Care – Important

Pitts Radiology Associates Rejoins Network 

 

Medical Mutual and its Family of Companies have reached an agreement with Pitts Radiology Associates— a radiology services provider at several hospitals in South Carolina, including Kershaw County Medical Center, Newberry County Memorial Hospital, Palmetto Health and Providence—to provide in-network services to our members.

 

The Company had previously been unable to come to an agreement with this radiology provider, which went non-contracting beginning September 30, 2009.  Services received on or after May 15, 2010, were charged at non-contracted rates.

 

Claims for services received on or after June 1, 2011, will be paid according to the terms of the new agreement.

 

If you shared information about the network termination with your clients, please update them on the positive outcome of this situation.

 

 

Columbia Skin Clinic Goes Non-Contracting 

 

CCP’ agreement with Columbia Skin Clinic will terminate effective July 15, 2011.  This dermatology group includes 11 providers that provide services in Kershaw, Lexington and Richland counties in South Carolina.

Services received from Columbia Skin Clinic on or after July 15, 2011, will be considered out-of-network.  Please encourage your groups to remind their employees to use in-network facilities whenever possible to receive the highest level of benefits and avoid higher out-of-pocket costs. A complete list of network providers is available on CarolinaCarePlan.com using the Provider Search tool.

Members who have received services from Columbia Skin Clinic in the past 12 months will receive a letter notifying them of this change.  Group officials with affected employees will also receive a notification.