Ohio credentialing & practice services

Payer credentialing in Ohio

Your payer strategy depends on your specialty, location and the patients you expect to serve. PPS can help evaluate participation opportunities and coordinate credentialing and enrollment across commercial plans, Medicare, Ohio Medicaid and workers compensation networks. Confirm current network availability directly with each payer.

Use these official resources as a starting point:

These are some of the plans and networks we have worked with in the Ohio market. Participation options depend on your location and specialty, and network status changes, so confirm current availability with each payer.

• 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