Ohio Credentialing & Practice Services

As the first nationwide credentialing and consulting company, we’ve had the privilege of working with hundreds of providers in Ohio over the years.  We understand the Ohio payer market and have some excellent contacts within the insurance companies to assist us in our credentialing efforts.  Whether you need credentialing maintenance services, insurance enrollment, contract negotiations or start-up consulting services, our team of industry experts will partner with you to ensure your success.  We provide a variety of services and each proposal is customized to ensure it fits the services and budget you’re looking for.

• Hospital Credentialing & Enrollment Services
• Physician Credentialing Services
• Solo or Group Physician Practice Start-Up Services
• Nurse Practitioner Start-Up & Credentialing Services
• Therapy Practice Start-Up Services
• Insurance Contract Negotiations
• Medicare Individual Enrollment and Reassignment
• Medicare Group Enrollment
• Medicaid Enrollment
• DMEPOS Medicare Enrollment
• ERA/EFT Enrollment
• Employment Manuals
• Business Development and Recruitment Services
• Practice Start-Up Consulting & Guidance for Ohio medical groups
• Business Branding & Website Design
• Search Engine Optimization and Marketing

Here are some of the insurers that we work with in the Ohio market. There are many insurance companies that might be worth participating with depending on your location. We also work with numerous workers compensation networks that may be beneficial to your practice.

• • • AARP
    • Aetna
    • Amerigroup
    • American Family Insurance
    • Anthem BCBS
    • AultCare HMO
    • Buckeye Community Health Plan
    • CareSource
    • Celtic Insurance Company
    • Cigna
    • COBRA
    • Community Insurance Company
    • Coventry Health Care / HealthAmerica Advantra
    • Golden Rule Insurance Company
    • The Health Plan of the Upper Ohio Valley
    • Humana
    • John Alden Life Insurance Company
    • Kaiser Permanente / Kaiser Foundation Health Plan of Ohio
    • McKinley Life Insurance Company (AultCare)
    • Medical Mutual of Ohio
    • Medicaid – Kentucky
    • Medicaid – Ohio
    • Medical Mutual of Ohio – HMO Health Ohio
    • Medical Mutual of Ohio – SuperMed HMO
    • Medical Mutual of Ohio – SuperMed Plus
    • Medical Mutual of Ohio – SuperMed Works “CareWorks”
    • Medical Mutual of Ohio- Traditional
    • Medicare
    • Molina Healthcare
    • Mount Carmel Health
    • Ohio Health Choice
    • Ohio Medicaid
    • Paramount Health Care
    • PrimeTime Health Plan
    • Summa Insurance Company / SummaCare
    • Time Insurance Company
    • United Healthcare
    • UPMC Health Network
    • WellCare of Ohio