Unified Group Services, Inc.
Unified Group Services, Inc. (Unified) of Anderson, Indiana administers the Medical benefit plan offered through Muncie Community Schools’ Group Health Plan. Unified will process and answer any claims questions that you or your providers may have.
Cardinal Care is the Preferred Provider Organization (PPO) for members who reside in the contiguous counties of Delaware County. For residents of non-contiguous counties, your Preferred Provider Organization (PPO) will be Sagamore Health Network. Remember, you must utilize in-network providers for all healthcare needs or you will receive a reduction in benefits. The Cardinal Care provider inquiry line is 800-553-0865 and their website is www.cardinalcare.com. The Sagamore Health Network provider inquiry line is 800-364-3469 and their website is www.sagamorehn.com.
You are required to contact Med-Cert, Inc. to pre-certify all Inpatient Admissions and select outpatient procedures which are listed below; at 800-356-7126. It is ultimately the patient’s responsibility to assure that pre-certification has occurred.
Pre-admission certification is required for all inpatient Admissions, any Outpatient Surgeries (other than those performed in a physician's office) MRIs, CT Scans, PET Scans and Outpatient Chemotherapy/Radiation Therapy. It is recommended to pre-certify in advance any Durable Medical Equipment over $1,000 (including all Prosthetic, Orthotic and Orthopedic Devices). Home health care, Home IV Therapy and First Trimester Maternity.
Your pharmacy network for prescription drugs will be EnvisionRxOptions. You will find most pharmacies in your area are members of the EnvisionRxOptions Network, and you may also access the website (http://www.envisionrx.com) to check pharmacy providers locally and in all 50 states.
If you have any questions regarding the enclosed information, please feel free to call your
Unified Claims Account Manager, Brenda F., at (800) 291-5837. Brenda is available
Monday through Friday, 8:00 a.m. to 5:00 p.m. (EST) to answer any questions you or your Medical providers may have.
The Unified Group Services, Inc. website, http://www.unifiedgrp.com, allows each employee the capability to check claims status and receive information regarding your plan and benefits online 24/7 for your convenience. Information regarding obtaining your password and utilizing www.UnifiedGrp.com.