[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-573043-105":53,"doc-detail-573043-en":120},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":113,"head_meta":115,"extra_data":117,"updated_unix":119},105,"en","ortholonestar-insurance-plans-cheat-sheet","OrthoLoneStar Insurance Plans Cheat Sheet","","OrthoLoneStar Insurance Plans Cheat Sheet provides a consolidated reference of insurance networks and plan categories, listing commercial third-party administrator networks, partner direct options, and exchange plans. It includes pending plan entries, Medicare and Medicaid plan groupings, and workers’ compensation networks. The sheet also captures packet or package IDs for select plans and notes referral requirements for specific Medicare, commercial, and government-related options.",{"@graph":63,"@context":112},[64,80,95],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/ortholonestar-insurance-plans-cheat-sheet/573043/",4,{"url":78,"name":59,"@type":81,"author":82,"headline":59,"publisher":85,"fileFormat":88,"inLanguage":57,"description":61,"dateModified":89,"datePublished":89,"encodingFormat":88,"isAccessibleForFree":90,"interactionStatistic":91},"DigitalDocument",{"name":83,"@type":84},"Jiven","Person",{"url":68,"name":86,"@type":87},"DocShare","Organization","application/pdf","2026-10-13",true,{"@type":92,"interactionType":93,"userInteractionCount":4},"InteractionCounter",{"@type":94},"ViewAction",{"@type":96,"mainEntity":97},"FAQPage",[98,104,108],{"name":99,"@type":100,"acceptedAnswer":101},"What information does the cheat sheet provide for commercial plans?","Question",{"text":102,"@type":103},"It lists commercial third-party administrator networks and the related Athena package IDs where available, including common network names such as Aetna, BCBS, Cigna, and Humana.","Answer",{"name":105,"@type":100,"acceptedAnswer":106},"Which major plan categories are covered beyond commercial networks?",{"text":107,"@type":103},"The document includes Partners Direct Health, Exchange Plans, Pending plans, Medicare Plans, Medicaid Plans, and Workers Comp Networks, each with plan names and some package IDs.",{"name":109,"@type":100,"acceptedAnswer":110},"Which items are specifically called out as requiring referrals?",{"text":111,"@type":103},"A section titled “Referrals Required” enumerates specific plans and programs (e.g., AARP Medicare Complete, Cigna HMO, Triwest, and UHC Medicare Advantage referral-required plans) that need a referral workflow.","https://schema.org",{"og:url":78,"og:type":114,"og:title":59,"og:site_name":86,"og:description":61},"article",{"robots":116,"canonical":78},"index,follow",{"doc_id":118,"site_id":56},573043,1791931023,{"code":4,"msg":5,"data":121},{"doc_id":118,"user_id":122,"nickname":83,"user_avatar":123,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":124,"file_id":125,"file_url":126,"file_type":127,"file_size":128,"view_count":4,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":129,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":130,"faqs":131,"seo_title":132,"seo_description":61,"update_tm":119,"read_time":4},1099513958607,"https://ap-avatar.wpscdn.com/avatar/100002390cf8733938c?x-image-process=image/resize,m_fixed,w_180,h_180&k=1778829742770036399","OrthoLoneStar Insurance Plans Cheat Sheet  \n\n| Commercial\u003Cbr>If the Third Party Administrator uses one of these networks, we can see the patient | Athena\u003Cbr>Pkg ID |\n| --- | --- |\n| Access Direct (Tyler only) |  |\n| Aetna |  |\n| BCBS (Carrell, TOA, AOSM bill/auth legacy grp) |  |\n| BeechStreet (multiplan) |  |\n| Cigna |  |\n| Coventry/First Health Commercial |  |\n| Custom Ink |  |\n| Decent Healthcare |  |\n| Fairprice Network |  |\n| First Care (Scott & White) |  |\n| First Health |  |\n| Friday Health Plan |  |\n| Galaxy Health Network |  |\n| GEHA (uses UHC Network) |  |\n| GPA/Texas MedClinic (their employees only) |  |\n| Healthcare Highways |  |\n| Healthsmart Complete (new plan to market 6/2021) |  |\n| Humana |  |\n| Integrated Medical Systems |  |\n| Kelsey Seybold (specific Houston providers) |  |\n| Mediview (Austin only) |  |\n| Multiplan |  |\n| OccuNet Provider Alliance |  |\n| Oscar |  |\n| Pan American Life (through First Health, Multiplan/PHCS) |  |\n\nPartners Direct Health  \n\n| PHCS |  |\n| --- | --- |\n| Point Comfort Underwriters (Refugees) |  |\n| Scott and White HealthPlan * TOSRA, Azalea PPO only; Carrell is Tier 1 or Preferred HMO & PPO |  |\n| Seton Health Plan | 202707 |\n| Surgery Plus (Employer Direct Healthcare) |  |\n| Tricare-including Tricare Prime (file thru East) | 475714, Mcare Supp\u003Cbr>only339491 |\n| United Medical Resources (UMR) -uses UHC network |  |\n| United Healthcare (UHC) |  |\n| US Family Health Plan |  |\n| USA Managed Care Org/Student Assurance |  |\n\n\n| Exchange Plans | Pkg ID |\n| --- | --- |\n| Humana Austin HMOx |  |\n| Humana POS |  |\n| Molina Healthcare-OLS pending, bill and auth legacy grp |  |\n| Oscar HealthPlan |  |\n| Sendero IdealCare |  |\n| Superior Ambetter |  |\n\n\n| Pending | Pkg ID |\n| --- | --- |\n| Cook Children's Health Plan |  |\n| Global Health of TX (Medicare Adv. ) |  |\n| Healthsmart |  |\n| Imperial Medicare Advantage |  |\n| Memorial Health (Houston only) |  |\n| Molina |  |\n| Paradigm Workers Comp Network |  |\n| Parkland Community Health Plan |  |\n| Tx Children's Health Plan |  |\n| Texas Independence Health Plan (Medicare Adv. ) |  |\n| Triwest (includes Veteran's Choice) -signature pending | 625320 |\n\n\n| Medicare Plans | Pkg ID |\n| --- | --- |\n| AARP Medicare Complete |  |\n| Aetna Medicare |  |\n| BCBS HealthSelect Medicare |  |\n| BCBS Medicare Advantage PPO & HMO (Carrell, TOA, AOSM bill/auth legacy grp) |  |\n| Cigna Medicare Advantage |  |\n| Connected Senior Care Advantage Aetna (Austin) |  |\n| Connected Senior Care Advantage Humana (Austin) |  |\n| Connected Senior Care Advantage WellCare (Austin) |  |\n| Friday Health Plan Medicare Advantage |  |\n| Humana Medicare |  |\n| Medicare DME Jurisdiction C |  |\n| Medicare Novitas Solutions |  |\n| Molina Medicare Replacement and Dual-OLS pending, bill and auth legacy group |  |\n| Oscar Medicare Advantage |  |\n| Railroad Medicare |  |\n| Scott and White Medicare |  |\n| Superior Wellcare |  |\n| UHC Community Plan Dual Complete |  |\n| UHC Medicare Advantage |  |\n| UHC Medicare Solutions (fka Secure Horizons) |  |\n| UHC West Medicare Solutions (fka Pacificare) |  |\n| USA Care Medicare Replacement |  |\n| WellMed AARP (UHC) Medicare Advantage HMO | 85195 |\n| WellMed Amerivantage Mcare Replacement (Amerigrp) | 289068 |\n| WellMed Amerivantage Medicare Dual (Amerigrp) | 581362 |\n| WellMed Humana Mcare Gold Plus HMO | 184811 |\n| WellMed UHC Dual Complete Focus | 255592 |\n| WellMed UHC Medicare Advantage PPO | 255659 |\n\n\n| Medicaid Plans | Pkg ID |\n| --- | --- |\n| Aetna Better Health Medicaid-OLS pending, use legacy |  |\n| BCBS Medicaid (Austin only)-OLS pending, use legacy |  |\n| Cigna Medicaid |  |\n| Dell Children's Health Plan (formerly Seton) |  |\n| Molina Healthplan-OLS pending, use legacy |  |\n| Superior/Superior Chip |  |\n| TMHP (Traditional Medicaid) |  |\n| UHC Community Plan Star Plus-OLS pending, use legacy |  |\n\n\n| Workers Comp Networks | Pkg ID |\n| --- | --- |\n| AIG-Coventry* via AIG HCN |  |\n| Blackstone Network (DFW only) |  |\n| Broadspire-Coventry* vi","cbCaibBCCK63d7UP","https://ap.wps.com/l/cbCaibBCCK63d7UP","pdf",163296,"English","# Commercial\n## Partners Direct Health\n## Exchange Plans\n## Pending\n## Medicare Plans\n## Medicaid Plans\n## Workers Comp Networks\n## Referrals Required","[{\"question\":\"What information does the cheat sheet provide for commercial plans?\",\"answer\":\"It lists commercial third-party administrator networks and the related Athena package IDs where available, including common network names such as Aetna, BCBS, Cigna, and Humana.\"},{\"question\":\"Which major plan categories are covered beyond commercial networks?\",\"answer\":\"The document includes Partners Direct Health, Exchange Plans, Pending plans, Medicare Plans, Medicaid Plans, and Workers Comp Networks, each with plan names and some package IDs.\"},{\"question\":\"Which items are specifically called out as requiring referrals?\",\"answer\":\"A section titled “Referrals Required” enumerates specific plans and programs (e.g., AARP Medicare Complete, Cigna HMO, Triwest, and UHC Medicare Advantage referral-required plans) that need a referral workflow.\"}]","OrthoLoneStar Insurance Plans Cheat Sheet | PDF"]