Network Operations integrates in network provider access, PPO rate application, and out-of-network negotiation into a single, coordinated capability.
A Division of Medlogix, CHN PPO is a leading preferred provider organization based in northeastern United States with a premier, fully-credentialed network of over 227,000 health care providers.
Our integrated services reduce adjuster intervention, minimize leakage, and ensure that bill payment reflects the proper contract rate application, which helps minimize post payment disputes.
Medlogix Network Operations manages all facets of PPO and network-related activity:
- CHN PPO (Medlogix’s proprietary PPO network)
- PPO partner network management
- PPO rate application
- Provider credentialing and data integrity
- Out-of-Network (OON) bill negotiations
These services are delivered through five coordinated functional areas:
- Provider Relations & Contracting • Provider Credentialing
- Data Integrity • PPO Application
- Out-of-Network Bill Negotiations
Our leadership team averages 28+ years of experience.
- Medlogix owns and operates its own fully credentialed proprietary PPO network—CHN PPO, the largest P&C-focused PPO network in the Northeast.
All provider contracting, credentialing, and re-credentialing are performed in-house, not outsourced. - CHN PPO includes:
- More than 64,000 directly contracted providers
- Over 228,000 provider locations across the Northeast and surrounding regions
- Access to over 750,000 national provider locations through carefully selected PPO partner networks
- PPO rate application is managed by a dedicated team supported by controls within MyMedlogix.
This makes adjusters’ jobs easier by eliminating pricing disputes before they reach their desk. For bills that fall outside PPO participation, Medlogix provides a disciplined Out-of-Network Negotiation program designed to further reduce costs.
Bill Negotiations Use Historical Claim Data
Medlogix identifies parameters for out of network medical bills that will likely yield a strong ROI. These parameters are determined and agreed upon by the client. The MyMedlogix system flags eligible bills and routes them to the negotiation team, which evaluates:
- UCR benchmarks
- Medicare rates
- Historical utilization and payment data
- Network comparables
All negotiations are:
- Conducted by experienced, specialized negotiators
- Finalized with signed Letters of Agreement (LOAs)
- Stored directly with the Bill Details within MyMedlogix
This ensures negotiated outcomes are defensible, auditable, and enforceable through payment.
PPO Network Operations is fully transparent
Our MyMedlogix platform provides:
- Real-time visibility into network application
- Clear audit trails for pricing and negotiations
- Centralized handling of PPO disputes
PPO performance is continuously monitored through:
- Network penetration and reduction metrics
- PPO bill turnaround time
- Rate application accuracy
We control medical costs while preserving fairness, compliance, and operational efficiency. Carriers receive consistent, defendable reductions without shifting burden to adjusters or undermining claimant experience.