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About Us: Introduction to BPN Board of Directors Message from CEO Medical Specialties Staff News & Announcements: BPN Directory Articles: FL Today, 12/13/00 BPN Directory Directories: Download Acrobat Reader to read the above files. Click on the logo below to download. |
| The staff at the BPN administrative office is committed to supporting our physician members and their staff in providing health care service to the residents of Brevard County, Florida. Working within each health plan guideline, the BPN staff works to lessen some of the difficulties encountered by physicians and their staff when dealing directly with health plans representatives. | |
| Claims Department
The BPN utilizes the
MDS system as our claims payment system. The Claims Department is currently staffed by Kerry Treshock and
Dara Janoski. Kerry and Dara have been with the BPN since early 1999. Both Kerry and Dara have a combined 15 years experience in claims
payment and physician billing.
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Utilization Management Department
The UM Department is
headed by our Chief Medical Officer, Dr. Harvey Shub. We currently have three full time staff, supervised by Meg
Nickerson, RN. Nurse case
managers: Meg Nickerson, RN and Rosemary Lemire, LPN together bring over
10 years health plan UM experience to the BPN. Kristy Bosworth, referral coordinator,
support Meg and Rosemary. BPN
holds a State of Florida Private Review license for Utilization
Management and utilizes national standards like Interqual and Milliman
& Robertson.
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| Credentialing/Provider Relations
Supervisor Trish
Beaulieu has been with the BPN since 1998 and is responsible for
developing BPN’s credentialing program to NCQA many demanding
standards. Due to Trish’s
diligence the BPN is now delegated credentialing by all health plans
which BPN is contracted. This
means that our physician members need to fill out credentialing
information only once for all the BPN contracted health plans. April Peterson joined the BPN as our provider relations
representative late last year from HealthEase Health Plans. April is responsible for orientations, provider education, and
helping to solve provider problems.
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Administrative Support Staff
Dot Barton and Renee Kosut
provide support for Larry, Pat, and the entire BPN office. Dot has been with the BPN since 1996 and has over 30 years
experience as a supervisor with Social Security. Jane joined our team late in 2000 and brings extensive computer
office applications knowledge to the BPN.
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