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 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. PPO with UR and/or Mental Health or PPO without UR and/or Mental Health).
• Degree of electronic capabilities for eligibility and claims.
• Degree to which block of business is standardized or requires special handling.

Carriers submit access fee payments on a monthly basis to NCPPO's post office box:

NCPPO
P.O. Box 5537
Springfield, VA 22150

The billing detail (i.e. number of groups and subscribers by group) is returned with the payment to the post office box at the address above.

For Access Fee Billing Detail Questions, call 877-284-0101, extension 6030.