However, based on reports we have received, we are hearing that ESI declined to answer any of these questions, instead stating only: "Since the proposed Amendment simply adds new network options that a Sponsor may select, the information you requested below is not available." This non-answer provides nothing that would help a pharmacy decide whether to join the network(s).  At least two of these networks -- HP and EN30 -- have been in place for years. Essentially then, ESI could provide the requested information but is simply choosing not to do so. We suggest that that any pharmacy interested in evaluating the network(s) remind ESI Contracting that the HP and EN30 networks have been in existence for years and to please provide answers to each of the foregoing questions with respect to these two networks, at a minimum. 

 

If you decide to decline participation in the offered networks, you will still be able to participate in other ESI networks not covered by this addendum. To decline, follow the instructions stated in the addendum and keep for your records a copy of your email declining participation by the stated deadline. We suggest you add the following sentence in your notice: "Furthermore, without ESI identifying which BIN/PCN/Group and plan(s) correspond to the network(s) covered by the contract addendum, I will not know whether a patient participates in any of these networks. Therefore, ESI may not imply my agreement to participate in any of these networks based on the processing of any claim by a patient that may fall under one of the four networks."