NorthCoast Health Care Management Services
4199 Kinross Lakes Parkway • Suite 220
Richfield, OH 44286
Phone: 800-757-7111 or 216-591-2000
To Report Fraud or Security Concerns
Contact the Security Officer at:
Phone: 800-757-7111, ext 2199
Interested in Joining Our Provider Network?
Our provider panel is extensive. However, we still need providers with certain skills and in certain geographic locations. Application does not guarantee inclusion in the network. If you have any questions, please contact our office at 800-757-7111.
Steps to Becoming a NorthCoast Provider
Credentialing: We have been delegated by Anthem to do credentialing. A packet will be forwarded to you for completion. Once returned, it will be reviewed and presented to Anthem for final approval. To provide services for MMO members, your credentialing information is forwarded to a MMO representative for review.
Contracting: A draft contract will be sent to you for review. Upon your agreement and completion of the credentialing process, the final contract will be sent for signature.
Orientation: Time will be scheduled either in person or on the phone to go over the process for referrals, ongoing care, and claims submission; mutual expectations; and the “ins and outs” of working with the network.
Re-credentialing: This must be done every three years to remain a member of the panel.
Both Anthem and Medical Mutual are apprised quarterly of any additions to the panel.