Provider Network Services
Reducing your administrative burden with timely authorization and ensure prompt payment
Providing NorthCoast Providers with access to our Provider Portal for important information and policy updates
Working efficiently through claims processing, prior authorizations and appeals with no hidden fees
One-step Contracting & Credentialing
Becoming your single point of contact for Anthem BCBS and all other BCBS plans, Anthem Medicare Advantage and Medical Mutual of Ohio
Patient Care Advocates
Offering care coordination, personalized patient on-boarding and benefit coverage review
Referrals, Authorizations, and Clinical Support 24/7
Addressing Provider needs such as starts of care to discharge
NorthCoast Health Care Management Services is an integrated network of providers for home health, home infusion, hospice, and chronic care management services. We provide comprehensive management of the patient’s health plan benefits for appropriate utilization of services for the patient and the health plan. Our goal is to obtain the highest patient outcomes in the most cost-efficient manner possible.
NorthCoast’s extensive panel of providers, all credentialed and contracted, provides services to all 88 counties in the state of Ohio and the contiguous counties in the surrounding states. With more than 250 providers, our network is comprised of hospital-based, not-for-profit, and for-profit, independent providers. They are local, regional and national providers dedicated to providing the highest quality care in the home and other alternate site settings. Our network provides services for Anthem Blue Cross Blue Shield and all other Blue Cross Blue Shield Plans, Anthem Medicare Advantage including members delegated to myNEXUS, Medical Mutual of Ohio, and other Health Plans.