Contact Information
South Georgia Physician Network LLC
2866 Johnson Ferry Road
Suite 200
Marietta, GA 30062
1-800-252-9094
770-518-4408 (Fax)
www.sgpn.org
Credentialing
- Delegated to perform credentialing for all Network Affiliations.
- Initial credentialing and re-credentialing every three years.
Provider Relations
- Liaison between physician and managed care networks.
- Disseminate new membership information and physician changes to networks.
- Webpage links with managed care organizations.
- Conduct network meetings for administrators.
- In service seminars for plans.
- Membership news updates.
Managed Care Support
- Network contracting issues.
- Claim resolution issues.
Messenger Model Procedures
- Contract summary.
- Fee reimbursement analysis.
- Provide contract language responses to Managed Care Organizations.
- Provide fee reimbursement responses to Managed Care Organizations.
Antitrust Compliance
- Antitrust policy administration.
- Annual antitrust developments.
Network Affiliations
- Aetna
- Coventry POS
- Entera MCO
- First Health/Southcare
- Multiplan PHCS
- NovaNet
- Peach State Health Plan
- Prime Health Services
- Tricare
- United HealthCare (credentialing only)