Payor Partners

Focusing on generating cost savings for Payors by delivering quality and efficiency

NorthCoast is a reliable, experienced network manager with a proven track record of servicing home health, home infusion, and hospice since 1995. With an established network of quality providers in all 88 Ohio counties and in the surrounding states of Michigan, Indiana, Kentucky, West Virginia, and Pennsylvania, NorthCoast is adding new payor and provider partners throughout the United States.

What makes NorthCoast a valuable partner for health plans?

  • A single point of contact to manage a post-acute provider network to your health plan specifications
  • Reduce administrative costs and generate cost savings
  • Utilize proprietary software to manage credentialing, authorizations, billing, and appeals
  • Offer data collection, aggregation, and analytics for detailed reporting

By providing claims that meet Payor’s standards and requirements, we limit denials and resubmissions.

Comprehensive Network Management Services

Delegated contracting and NCQA-compliant credentialing across multiple providers

Process and submit claims electronically in HIPAA-compliant, standardized coding format

Implement health plan compliance and regulatory requirements and updates

Increase provider compliance, improve patient outcomes, and reduce paperwork

Facilitate patient care coordination and transition to community-based services

Partnerships and pilots for Value-Based Population Health Management Programs