Carrier Access fees are generally based on a “per employee per month” fee (PEPM).

Some affiliated insurance carriers “self-bill” at the close of each month, supplying payment to NCPPO in an automated manner based upon the current, active subscriber counts.

Carriers receive an invoice from NCPPO/HealthLink's Finance department indicating the last billed number of employees and the access fee rate. The payor indicates the current membership with NCPPO and submits access fees for all active members.

Access fees vary due to:

• Carrier volume (the greater the volume the lower the unit cost to manage the block of business).
• Type of network access (e.g. Medical or Medical and Mental Health network access).
• Degree of electronic capabilities for eligibility and claims.
• Degree to which block of business is standardized or requires special handling.

Monthly payments are submitted by fifteen days following the close of the prior month to NCPPO's post office box:

NCPPO
P.O. Box 5537
Springfield, VA 22150

The payment detail (i.e. number of groups and subscribers by group and grand totals) should be sent with the payment to the post office box at the address above.

Payors interested in submitting payment via wire transfer need to contact NCPPO/HealthLink's Finance department and provide the following information: company from which the payment will be received, the group or groups to which the payment should be applied (and the payor's group number for each) and indicate for which month payment is being made. Payment details are sent to NCPPO to correspond with the wire transfer payment.

For Access Fee Billing Questions or Wire Transfer Instructions call 877-284-0101, extension 6027 or 6368.