Regarding Your Workers' Compensation Claim Contact:

Select the state in which you or your employee is receiving treatment. If neither you nor your employee are receiving treatment, click on the state in which you or your employee work.

The Hanover Insurance Group — Workers' Compensation Provider Networks

PPOM (Preferred Provider Organization Midwest)

• Visit PPOM Website
  

State(s)	Provider Network	Claims Office Address	Toll-Free	Fax	Instructions
Michigan	PPOM	PO Box 944 Howell MI 48844	1-800-831-1166	1-517-546-6087	Search For: Choose “All Providers,” or narrow the search using the drop down list Insurance Type: Choose “Workers Compensation” Click on “Zip Code” then enter appropriate ZIP Code. A list will be produced.

Aetna/AWCA (Aetna Workers' Comp Access)

• Vist Aetna/AWCA website

State(s)	Provider Network	Claims Office Address	Toll-Free	Fax	Instructions
Georgia, Indiana, Pennsylvania, Tennessee, Virginia	Aetna/AWCA	PO Box 15146 Worcester MA 01615	1-800-627-6413	1-800-762-7788	Click on “Insurance Carriers” Enter our Client ID:  728339 Click “I Accept” Choose method of search – usually by Zip Code The product type is “Aetna Workers Comp Access” Follow the instructions for finding physicians

Coventry

• Vist Coventry website

State(s)	Provider Network	Claims Office Address	Toll-Free	Fax	Instructions
Connecticut	Coventry	PO Box 15144 Worcester MA 01615	301-581-0600

First Health

• Visit First Health website

State(s)	Provider Network	Claims Office Address	Toll-Free	Fax	Instructions
Alabama, Alaska, Arizona, Arkansas, California, Colorado, Deleware, District of Columbia, Florida, Hawaii, Idaho, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada,New Hampshire, New Jersey, New Mexico,New York, North Carolina, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Texas, Utah, Vermont, Washington, West Virginia, Wisconsin, Wyoming	First Health	PO Box 15146 Worcester MA 01615	1-800-627-6413	1-800-762-7788	The logon is: HNI Click on “Online Tools” Click on “Channeling Tools” with the blue dot in front of it. To create a panel or worksite poster, click on Worksite Poster. Otherwise, click on address and search by zip code. If an employer has a multiple locations, each zip code can be entered separately.    Follow the instructions for finding physicians.