© Todd Sechel Studio LLC



CONTRACTED PLANS

AETNA: www.aetna.com/index.htm
Provider Representative: 330-659-8506
(Includes Confinity Network)

BEECH STREET: www.beechstreet.com/providers/index.html

BUCKEYE COMMUNITY HEALTH PLAN: (Medicaid) www.bchpohio.com
Provider Relations Representative: 1-866-246-4356

CARESOURCE: (Medicaid) www.caresource-ohio.com
Provider Representative: 937-224-3300

CIGNA: www.cigna.com
Provider Representative: 216-642-1839

EMERALD HEALTH NETWORK includes INTERPLAN HEALTH GROUP (Direct Care America, PHS)
www.interplancorp.com/provider_information.asp
Provider Representative: 216-902-7639

GREATWEST HEALTH CARE: www.greatwesthealthcare.com/providers
Regional Director Network Development: 1-800-644-9335 x 4537

HUMANA: www.humana.com/providers
Provider Representative: 1-866-596-5394

MEDICAL MUTUAL: http://www.medmutual.com/provider/main.aspx
Provider Representative: 513-684-8143

MOLINA HEALTHCARE: http://www.molinahealthcare.com

OHIO HEALTH CHOICE: www.ohiohealthchoice.com

PARAMOUNT HEALTHCARE: http://www.paramounthealthcare.com
Provider Representative: 419-887-2500

PHCS/MULTIPLAN: www.multiplan.com

SUMMACARE: www.summacare.com
Provider Representative: 1-800-996-8411

THREE RIVERS PROVIDER NETWORK:
Provider Representative: 619-600-4822


NON PCNO CONTRACTED PLANS

ANTHEM BCBS: www.anthem.com
Provider Representative: 216-573-4510

UNITED: www.uhc.com/physicians.htm
Provider Representative: 216-771-1734


THE MESSENGER MODEL AND CONTRACTING PROCEDURE

PCNO's relationship with each member Physician (as well as certain limited license practitioners and ancillary providers) is governed by a written Participating Provider Agreement ("PPA"). The PPA contains, among other things, general terms and conditions for participation in payor contracts. To effectuate the payor relationships, the PPA grants PCNO a limited power of attorney to execute payor contracts on behalf of the Physician with respect to those payor arrangements individually accepted by the Physician. Because PCNO is not financially or clinically aligned with Community Health Partners, the Managed Care Department must work within the confines of the Messenger Model in all PCNO phyisican contracting endeavors.