Company Profile
ChiroHealth-Ohio, Ltd. established in 1996 is a regional group (IPA) network of chiropractic physicians who have come together to collaborate with other key stakeholders in the health industry to ensure access to quality care while managing the cost of delivery.
We provide a full range of managed care services including:
•A large, NCQA credentialed chiropractic network
•Utilization management services
•Claims administration
•Quality assurance programs
ChiroHealth is dedicated to becoming a valued partner by providing:
•Establishing a quality chiropractic group network ensured through ongoing NCQA credentializing.
•Effecting practice patterns by establishing appropriate standards of practice, care and documentation.
•Effectively integrating chiropractic care delivery with care rendered by other professionals including MD, DO's and physical therapists which eliminates service duplication.
GEOGRAPHIC COVERAGE AND PANEL SIZE
The Chirohealth network presently includes over 500 participating chiropractic physicians that spans five states including Ohio Indiana Kentucky, Michigan and Pennsylvania. The current focus of Chirohealth's provider relations recruitment activity is on recruiting additional qualified physicians, throughout the Midwest region.
PAYOR CONTRACTS
Chirohealth currently participates in managed-care contracts with the enrollment of approximately 1.5 million covered individuals. Chirohealth Ohio works with payors on a discounted fee-for-service or capitation contract.
PAYORS
•MultiPlan Networks
•Beech Street / MultiPlan Network
•PHCS / Multiplan Network
•HealthSmart PREFERRED Networks
•HealthSmart - Emerald Health
•HealthSmart - ACCELL
•HealthSmart - InterPlan Health Group (IHG)
•HealthSmart - UFCW
•HealthSpan ( formerly Kaiser Permanente - added choice - POS tier 2)
•Health Ohio Network -HON
•Ohio Preferred Provider Network (OPN & OPPN)
•Stratose Network (NPPN)
•USA - MCO Managed Care Organization
OTHER BENEFITS
ChiroHealth is prepared to offer to payors and manage a Complementary Alternative Medicine (CAM) program for covered and non-covered services.
ChiroHealth does process claims, ensuring consistency and timeliness of submitting "clean" bills.