Providers

 

Below are helpful resources for Caterpillar NetWork providers, including Caterpillar NetWork credentialing information and administration manual, national reciprocity information, the prescription drug formulary, specialty products list, prior authorization forms, and more.

 

Caterpillar PPO Network Contacts

Provider Network Status/Questions

Jill Evans Clausen
309-675-6580
evans_clausen_jill_a@cat.com 
Secure Fax: 309-517-0854

Provider Contracting and Payment Issues
Angie Karis
309-675-4326
karis_angela_m@cat.com
Secure Fax:309-402-0336 

Medical Resources

 

BCBS National

UHC Choice Plus, UHC Consumer Choice or UHC Consumer Max

Out-of-Area Plan

Indemnity Plan

Network

Blue Cross Blue Shield network

 

 

Either the:

Caterpillar NetWork (if you live within one of the yellow counties on this this map)

or

UHC Choice Plus network (if you live outside of the yellow counties on this map)

No network required, however, you may have UHC Choice Plus providers in your area

No network required

Provider Search

Search for BCBS providers

Search for Caterpillar NetWork providers

NetWork providers that offer lactation services

Search for Caterpillar NetWork providers

Search for UHC Choice Plus providers (select the Choice Plus option)

Traveling out of the NetWork or need out-of-network services?

Search for UHC Choice Plus providers (select the Choice Plus option)

N/A

Note: These are ID card examples; your ID card may show different deductibles and out-of-pocket maximums depending on your medical plan election.

PPO PLAN OPTION

 

CATERPILLAR PPO NETWORK
If you're in a PPO or CDHP option and live in one of the yellow Illinois counties on this map, you're in the Caterpillar PPO NetWork, which is administered by UHC or Blue Cross Blue Shield.

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United Healthcare ID card
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United Healthcare ID card
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BlueCross BlueShield ID card
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BlueCross BlueShield ID card

UHC CHOICE PLUS NETWORK
If you're in a PPO or CDHP option and DON'T live in a yellow Illinois county on this map, you're in the UHC Choice Plus network.

UHC provider search (select "Choice Plus" plan option)

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United Healthcare ID card
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United Healthcare ID card

 

BCBS PLAN

 

BLUE CROSS BLUE SHIELD NETWORK
If you're in the Blue Cross Blue Shield (BCBS) plan option, you're in the Blue Cross Blue Shield network.

Provider search: bcbsil.com/caterpillar

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BlueCross BlueShield ID card
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BlueCross BlueShield ID card

 

OUT OF AREA PLAN

 

OUT OF AREA - NO NETWORK
If you're in an out of area plan, you're not required to participate in a provider network. However, there may be UHC network providers in your area.

UHC provider search (select "Options PPO" plan option)

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United Healthcare ID card
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United Healthcare ID card

 

INDEMNITY PLAN

 

INDEMNITY PLAN - NO NETWORK
If you're in the Indemnity Plan, you're not required to participate in a provider network. 

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United Healthcare ID card
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United Healthcare ID card

Certain counties in Illinois comprise the Caterpillar Healthcare PPO NetWork.* The Caterpillar Healthcare PPO NetWork strives to ensure its members receive quality healthcare in an efficient and effective manner. The provider credentialing process is the foundation for Caterpillar initiatives related to the review of utilization practices, quality, efficiency and cost of care - ensuring our members continue to receive best-in-class care.

The Caterpillar Healthcare PPO NetWork requires credentialing for these types of providers:

  • Physicians (MD, DO, DPM)
  • Advanced Practice Nurse, Full Practice Authority Nurse, Midwife
  • Therapy Providers (Physical, Occupational and Speech) 
  • Mental Health Providers (Psychologist, LCPC, LCSW, LMFT)
  • Physician Assistant
  • Chiropractor
  • Optometrist

Caterpillar NetWork Administration Manual

Questions? Email Provider Relations or call them at 309-675-6580.

 

Credential a new provider

Recredential a provider

Other information

Caterpillar forms

 

ILLINOIS COUNTIES IN THE CATERPILLAR PPO NETWORK

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Map of Illinois counties

Prescription Drug Resources

Caterpillar Drug Formulary

Caterpillar offers prescription drug benefits that include retail, specialty, and mail order/home delivery options.

Click here for more information.

Prior Authorization Forms

Certain medications require a prior authorization review. Prior Authorization means a set of criteria must be met and a drug-specific form must be completed for the medication to be considered for coverage by the plan. Once a coverage determination has been made, the member and physician will be notified.

Click here to view the list of Prior Authorization Forms.