Online Check-In & Forms

General Piedmont Healthcare Forms

Insurance Information

Piedmont HealthCare participates with most managed care plans. Please see the list below. If you have any questions, please contact Piedmont HealthCare or your provider’s office for more information.


Aetna USHC All commercial plans are accepted. We do not participate with Aetna Medicare Aetna Leep: Patients with OON benefits, we are Tier 2.  aetna

 AmeriHealth Caritas North Carolina (Medicaid plan) 

AARP Medicare Complete (UHC) Tier 2 provider.  united
Blue Cross Blue Shield (BCBSNC) All plans except Blue Local.  BCBSNC
Blue Cross Blue Shield Out of State Plans – PPO  BCBS-Others
Blue Medicare HMO  BCBSMedicareHMO
Blue Medicare PPO  BCBSMedicarePPO
ChoiceCare/Humana PPO  Choice
CIGNA HealthCare All commercial plans are accepted.  Cigna
CIGNA HealthSpring NOTE: Referral is required for this plan.  cigna health spring
Coventry Healthcare/Coventry One  Coventry
DirectNet  Directnet
Evolutions HealthCare  Evolutions
First Health/Coventry Healthcare  First-Health
HealthyBlue (Medicaid Plan)
Humana Medicare HMO and PPO Humana
MedCost PPO  Medcost 

Private Health Care SystemsMultiplan Privatemultiplan
Tricare/Tricare Prime NOTE: Tricare Prime requires a referral. tricare
United Healthcare Excludes UHC Compass and Navigate Plans UnitedHealth
United Healthcare Community Plan (Medicaid Plan)
USA Managed Care Organization  USAManged
OPTUM– VA Community Care Network

We’ve Made It Easy for You to Check-In for Your Appointment…Even Before You Get There!

Piedmont HealthCare medical practices use Phreesia for patient intake. This means many of the forms that would typically be filled out by hand can be done online – before your appointment – in a fraction of the time. Leading healthcare organizations, like Piedmont HealthCare, have incorporated Phreesia to revolutionize their patient intake process. Improved speed, accuracy and efficiency are all part of providing the highest quality of care for our patients.

Medical Resource Links