Plans We Service.
Our team of Managed Care experts have extensive experience working with Commercial Health Plans, Medicare Fee For Service, Medicare Advantage Plans, IPA’s, and Medical Groups throughout the country. We have worked closely with Health Plans to facilitate prior authorizations, LOA’s, and help coordinate care with case managers at the various health care organizations we work with.
NATIONAL Contracts
Aetna
Advantra Health Plans
Aetna National
Aetna Signature Administrators
Aetna Signature Network – Employee Benefit Management Services (EBMS)
Aetna Student Health Agency, Inc.
AlaMeda
Allegiance Life & Health
Allied Benefit Systems, Inc.
Ambetter
American Health Management Services
American Insurance Administrators, Inc.
American National Insurance Company
American PPO, Inc.
America’s Choice Provider Network
Ancillary Care Services
Anthem BlueCross BlueShield HealthKeepers
Anthem BlueCross BlueShield Senior Advantage
Assured Benefit Administrators
Bankers Fidelity
Blue Choice Health Plan
Boon Chapman – Aetna ASA Network
Bricklayers and Allied Craftworkers Local 5 Union CareCentrix – American Postal Workers Union Health Plan
CareCentrix – BlueCard
CareCentrix – Federal Employee Plan (FEP) National CenterCare
Champ VA National
CHCS Services, Inc.
Cigna Health Care – Great West
Cigna Health Care (exclude HealthSpring)
Community Care Network
Community Partners Health Plans
CompAlliance
Consumer Health Network (CHN)
Coventry Health
DMC
Dmension (including PEBFT Employee Benefits)
Easy Choice
Encore Health Network
Essence Healthcare of California
First Health
First Priority Life Ins Co
Fortified Provider Network
Freedom Blue
Fresenius Health Partners, Inc.
Group Health Plan, Inc
HealthSmart Preferred Care
HealthSpan Integrated Care
Healthnet
Heart of America Health Plan – Sanford Health Plan
HFN Network
HME Network
Homelink – AIG
Homelink – Alternative Insurance Resources
Homelink – Altius One
Homelink – America’s PPO
HomeLink – SummaCare Health Care
Idaho Physicians Network
Imagine Health
Independent Holding Group Health Solutions
Independent Medical Systems
Integra – Independence Care Systems
Integra – Independent Health
Integra – Montefiore CMO
Integra – Partners Health Plan
Integra – QualCare INC
Integra – Senior Health Partners
Integra – Senior Whole Health
Integra – Village Care Max
InterGroup Services, Corp.
Mail Handlers Benefit Plan (MHBP) – part of the Aetna Network
Managed Care Ancillary Services (MCAS)
Medicare
Medgroup – Beech Street
Medgroup – Evolutions Healthcare Systems, Inc.
Medgroup – Galaxy Health Network
Medgroup – Integrated Health Plan (IHP)
Medgroup – Three Rivers Provider Network
Medical Network, Inc. (MedNet)
Medicare National
Memorial Health Partners (MHP)
Meritain Health Plan – Aetna
Midlands Choice
Molina
Montana Health CO-OP
Multiplan – Access Administrators
Multiplan / PHCS
Multiplan – American Republic Insurance Company -(ARIC)
Multiplan – America’s Choice Health Plan LLC
Multiplan – Assurant Health
Multiplan – BAS Health
Multiplan – CAM ADM SERVICES
Multiplan – Catamont Choice (MVP)
Multiplan – Consolidated Health Plans PPO
Multiplan – DAKOTACARE
Multiplan – Government Employees Health Association (GEHA)
Multiplan – Health Care Management Administrators, Inc. (HMA)
Multiplan – Health Cost Solutions
Multiplan – Health Republic Insurance
Multiplan – HealthPartners, Inc
Multiplan – HealthScope Benefits
Multiplan – Insurance Design Administrators (IDA)
Multiplan – Key Benefit Administrators
Multiplan – Land of Lincoln Health
Multiplan – MagnaCare
Multiplan – MVP Health Care
Multiplan – PHCS (Private Healthcare Systems )
Multiplan – PHCS Savility
Multiplan – Physicians Plus Insurance Corporation Multiplan – RH Administrators
Multiplan – S&S HealthCare Strategies
Multiplan – Valley Baptist Health Plan, Inc.
Multiplan – Viant Health Payment Solutions
Multiplan/PHCS
NovaNet, Inc.
Owensboro Community Health Network (OCHN)
Oscar Health
Pacific Health Alliance
Parkview Health Plan Services/Signature Care Network
Piedmont Community Health Plan
PPOPlus, LLC.
PreferredOne (PAS, PCHP, PPO)
Priority Health
Provider Networks of America (PNOA)
ProviDRS Care Network
RailRoad Medicare National
Santa Fe Employees Hospital Association-Coast Lines
Stratose – NPPN
The Regence Group
Tricare
Tricare – East Region – Humana Military & West (HealthNet)
Trilogy Health Network / Trilogy Health Insurance, Inc. / US Health and Life Insurance Company (USHL)
TriWest Healthcare Alliance Corp. (HMSA)
UMR
Union Pacific Railroad Employees Health Systems
United Healthcare
United Healthcare National (Medicaid accesss may vary by state)
Upper Peninsula Health Plan (UPHP)
US HEALTH AND LIFE
UMR
USA MCO
Verity HealthNet, LLC.
WESTERN Contracts
Aetna Better Health of California
Aetna Health California, Inc.
Alamitos IPA
AllCare IPA
Allied Pacific IPA
Alpha Care Medical Group
American Benefit Plan Administrators, Inc.
Anthem BlueCross BlueShield of Arizona
Anthem BlueCross BlueShield of Colorado
Anthem BlueCross BlueShield of Nevada
Anthem BlueCross of California
AppleCare Medical Group
Arch Health Partners Medical Group
Arizona Foundation for Medical Care
Aspire Health Plan
Atrio Health Plan of Oregon
Banner Health of Arizona
Blue Shield of California
Blue Shield Promise
BlueCross BlueShield of Arizona
BlueCross BlueShield of Montana
BlueCross BlueShield of New Mexico
BlueCross BlueShield of Wyoming
BlueCross of Idaho
Brand New Day
Brookshire IPA
CA Health & Wellness
CA Physicians Medical Group
CalCare IPA
California Kids Care (CCS through Rady Children’s)
CareCentrix – Arizona Care Network
CareOregon
CCS Medi-Cal (Children Plan only)
CenCal
Centene Corporation – Bridgeway Health Solutions, inc.
Centene Corporation – California Health and Wellness Plan (Celtic Insurance Company)
Centene Corporation – Coordinated Care Corporation (Ambetter WA)
Centene Corporation – Health Net Access, Inc
Centene Corporation – Health Net Community Solutions, Inc.
Centene Corporation – Health Net Health Plan of Oregon, Inc.
Centene Corporation – Health Net Life Insurance Company, Inc.
Centene Corporation – Health Net of Arizona, Inc., d/b/a Arizona Complete Health
Centene Corporation – Health Net of Arizona, Inc., d/b/a Arizona Complete Health (Allwell)
Centene Corporation – Health Net of Arizona, Inc., d/b/a Arizona Complete Health (Ambetter)
Centene Corporation – Health Net of California, Inc.
Centene Corporation – Health Smart Preferred Care II, L.P.
Centene Corporation – SilverSummit Healthplan, Inc. (Ambetter)
Centene Corporation – Trillium Community Health Plan, Inc.
Centene Corporation – WellCare Health Insurance Company of Washington, Inc.
Centene Corporation – WellCare Health Insurance of Arizona, Inc.
Centene Corporation – WellCare Health Insurance of
Arizona, Inc., d/b/a ‘Ohana Health Plan, Inc.
Centene Corporation – WellCare Health Insurance of Hawaii, Inc.
Centene Corporation – WellCare of California, Inc.
Centene Corporation – WellCare of Washington, Inc.
Centene Corporation – Western Sky Community Care, Inc. (Ambetter)
Children’s Physicians Medical Group (Rady’s Children’s)
CHOC Physicians Network (CHOC Health Alliance)
Choice Medical Group
Clover Health
Coast Healthcare
Christus Health Plan – US Family Health Plan (USFHP)
Eastern Oregon CCO
Easy Choice
Edinger Medical Group
First Choice Health Network, Inc.
First Choice Network
Fountain Valley IPA
Fresno Community Physicians
Friday Health Plan
Gateway Medical Group
Genesis Healthcare of Southern California
Golden State Health Plan
Good Samaritan IPA
Greater Tri Cities IPA
Group Health Cooperative in Seattle – GHO PPO
Health Excel IPA
Health Plan of Nevada
Health Plan of San Mateo
Healthcare Partners of Nevada
Healthfirst Nevada
HMSA BlueCross BlueShield Hawaii
Hollywood Presbyterian Hospital/Conifer
Homelink – Altius Health Plans – ID
Homelink – Altius Health Plans – WY
Hometown Health of Nevada
Imperial Health Holdings
Inland Empire Health Plan
Inland Faculty Medical Group
InterWest Health
Lakewood IPA
Los Angeles Medical Center IPA
Loma Linda University Medical Plan
Marin General Hospital (Western Health Advantage)
Medicaid of Alaska
Medicaid of Arizona
Medicaid of California
Medicaid of Colorado
Medicaid of Hawaii
Medicaid of Idaho
Medicaid of Montana
Medicaid of Nevada
Medicaid of New Mexico
Medicaid of Oregon
Medicaid of Utah
Medicaid of Washington
Medicaid of Wyoming
MedPoint Management
Memorial Care
Mercy Physicians Medical Group
Meritage Medical Group
Modesto Medical Center/Tenet
Molina New Mexico
Molina of California
Molina of Idaho
Molina of Washington
Multiplan – Kaiser Permanente Colorado
New Mexico Health Connections
Oscar Health AZ
Oscar Health CA
Oscar Health CO
PacificSource
Partnership Health Plan
Premera BlueCross
Primary Health of Josephine County
Prominence Health Plan Nevada
Prospect Medical Group of Arizona
River City Medical Group
Rocky Mountain Health Plans
Samaritan Health Plan of Oregon
Sante Community Physicians
Scripps Health Plan
Scripps Health System
Select Health
Sharp Health Plan
So. Ca. Physicians
St. Francis Medical Center
St. Mary’s IPA
St. Vincent IPA
StarCare Medical Group
Sutter Health System
True Health – New Mexico, Colorado, Utah
UC Irvine Medical Group
UCSD Medical Group
Valley Presbyterian Hospital/Conifer
Vantage Medical Group
Vibra Health
MID WEST Contracts
Aetna Better Health – Illinois (formally known as Illinicare)
Aetna Better Health of Kansas
Aetna Better Health – Michigan (CountryCares of Michigan)
Aetna Better Health of Ohio
Amerigroup of Iowa
Anthem BlueCross BlueShield of Indiana
Anthem BlueCross BlueShield of Missouri
Anthem BlueCross BlueShield of Ohio
Anthem BlueCross BlueShield of Wisconsin
ASR Health Benefits – Michigan
BlueCross BlueShield of Kansas
BlueCross BlueShield of Kansas City
BlueCross BlueShield of Minnesota
Care Wisconsin First, Inc.
CareSource – Indiana
Centene Corporation – Buckeye Community Health Plan, Inc. (Ambetter)
Centene Corporation – Buckeye Health Plan Community Solutions, Inc.
Centene Corporation – Celtic Insurance Company (Ambetter of Illinois)
Centene Corporation – Centene Venture Company Illinois (Ascension Complete)
Centene Corporation – Centene Venture Company Indiana (Ascension Complete)
Centene Corporation – Centene Venture Company Kansas (Ascension Complete)
Centene Corporation – Centene Venture Company Michigan (Ascension Complete)
Centene Corporation – Coordinated Care Corporation, d/b/a Managed Health Services – IN (Ambetter)
Centene Corporation – Harmony Health Plan, Inc.
Centene Corporation – Home State Health Plan, Inc. (Ambetter)
Centene Corporation – Iowa Total Care, Inc.
Centene Corporation – Managed Health Services Insurance Corporation
Centene Corporation – Meridian Health Plan of Illinois, Inc.
Centene Corporation – Meridian Health Plan of Michigan, Inc. (Ambetter)
Centene Corporation – Michigan Complete Health, Inc.
Centene Corporation – Nebraska Total Care, Inc.
Centene Corporation – Sunflower State Health Plan, Inc. (AllWell & Ambetter)
Centene Corporation – WellCare Health Insurance Company of Kansas, Inc.
Centene Corporation – WellCare Health Plans of Missouri, Inc.
Centene Corporation – WellCare of Illinois, Inc.
Centene Corporation – WellCare of Kansas, Inc. Centene Corporation – WellCare of Missouri Health Insurance Company, Inc.
Children’s Special Health Care Services Plan Community Care Alliance of Illinois
Community Care, Inc.
Group Health Cooperative – South Central Wisconsin
Health Alliance Plan of Michigan (HAP)
Health Choice of Northwest Missouri
HealthPlus Insurance – Michigan
HealthSpan Ohio
Homelink – Accountable Health Plans of Ohio (AHPO)
Inclusa – Forward Health
Indiana University Health Plan
Integra – MissouriCare
ISU-Illinois State University (student health plan)
ITASCA Medical Care
Lasso Healthcare
McLaren Health Plan, Inc.
Medicaid of Illinois
Medicaid of Indiana
Medicaid of Iowa
Medicaid of Kansas
Medicaid of Michigan
Medicaid of Minnesota
Medicaid of Missouri
Medicaid of Nebraska
Medicaid of North Dakota
Medicaid of Ohio
Medicaid of South Dakota
Medicaid of Wisconsin
Medical Mutual of Ohio
MediGold-OH
Molina Healthcare of Illinois
Mount Carmel Health Plan
Multiplan – Auxiant Wisconsin
Multiplan – Northern Illinois Health Plan
My Choice Family Care
Network Health
Northwood – BlueCross BlueShield of Michigan
Northwood – Security Health Plan of Wisconsin
OH Bureau of Workers Comp
Ohio Health Choice – Ohio PPO Connect
Oscar Health KS
Oscar Health MI
Oscar Health MO
Oscar Health OH
Paramount Health Care
Personal Care of Illinois, Inc. (a.k.a Covertry HealthCare of Illinois)
PrimeWest Health
Sanford Health Plan
SIHO Insurance (Indiana & Illinois)
State of Ohio Dept of Health Bureau for Children with medical Handicaps
Wellmark BlueCross BlueShield
Western Wisconsin Cares
Zing Health Plan
SOUTHERN Contracts
Aetna Better Health – Kentucky
Aetna Better Health – Texas
Aetna Better Health – Virginia
Aetna Better Health – West Virginia
Amerigroup Community Care – Florida
Amerigroup of Maryland
Amerigroup of Tennessee
Amerigroup Texas (Texas True Choice)
AmeriHealth Caritas – North Carolina
Anthem BlueCross BlueShield of Georgia
Anthem BlueCross BlueShield of Kentucky
Anthem BlueCross BlueShield of Virginia
Baptist Health Plan (Bluegrass Family Health, Inc.)
Baycare
Baylor Scott and White Health Plan
Blue Care Tennessee
BlueCross BlueShield of Alabama
BlueCross BlueShield of Lousiana (Key and PPO plans)
BlueCross BlueShield of Mississippi (Advanced Health Systems Only)
BlueCross BlueShield of North Carolina
BlueCross BlueShield of South Carolina
BlueCross BlueShield of Tennessee
BlueCross BlueShield of Texas
CareCentrix – BlueCross BlueShield of Florida
CareFirst BlueCross BlueShield
CareSource – Georgia
CareSource – Kentucky
CareSource – West Virginia
Centene Corporation – Absolute Total Care, Inc. (Ambetter)
Centene Corporation – Allwell from Arkansas Health & Wellness
Centene Corporation – Allwell from Peach State, Inc.
Centene Corporation – Ambetter from Arkansas Health & Wellness
Centene Corporation – Ambetter of Magnolia, Inc.
Centene Corporation – Ambetter of North Carolina, Inc.
Centene Corporation – Ambetter of Peach State, Inc.
Centene Corporation – Arkansas Total Care, Inc. (NovaSys Health, Inc)
Centene Corporation – Carolina Complete Health, Inc.
Centene Corporation – Celtic Insurance Company (Ambetter of Tennessee, Inc.)
Centene Corporation – Celtic Insurance Company Texas
Centene Corporation – Centene Venture Company – Alabama Health Plan, Inc.
Centene Corporation – Centene Venture Company – Florida (Ascension Complete)
Centene Corporation – Centene Venture Company Tennessee (Ascension Complete)
Centene Corporation – Louisiana Healthcare Connections, Inc.
Centene Corporation – Magnolia Health Plan, Inc.
Centene Corporation – Peach State Health Plan, Inc.
Centene Corporation – QCA Health Plan, Inc.
Centene Corporation – QualChoice Life and Health Insurance Company, Inc. (NovaSys Health, Inc)
Centene Corporation – SelectCare Health Plans, Inc.
Centene Corporation – SelectCare of Texas, Inc.
Centene Corporation – Sunshine Health Plan Community Solutions, Inc. (AllWell)
Centene Corporation – Sunshine State Health Plan, Inc. (a.k.a Ambetter of Florida)
Centene Corporation – Superior HealthPlan Community Solutions, Inc.
Centene Corporation – Superior Healthplan, Inc. (Ambetter)
Centene Corporation – WellCare Health Insurance Company of America
Centene Corporation – WellCare Health Insurance Company of Kentucky, Inc.
Centene Corporation – WellCare Health Insurance Company of Louisiana, Inc.
Centene Corporation – WellCare Health Insurance of North Carolina, Inc.
Centene Corporation – WellCare Health Insurance of Tennessee, Inc.
Centene Corporation – WellCare Health Plans of Vermont, Inc.
Centene Corporation – WellCare National Health Insurance Company
Centene Corporation – WellCare of Alabama, Inc.
Centene Corporation – Wellcare of Arkansas
Centene Corporation – WellCare of Florida, Inc., d/b/a Staywell Health Plan, Inc.
Centene Corporation – WellCare of Georgia, Inc.
Centene Corporation – WellCare of Mississippi, Inc.
Centene Corporation – WellCare of North Carolina, Inc.
Centene Corporation – WellCare of South Carolina, Inc..
Centene Corporation – WellCare of Texas, Inc.
Clear Springs Health
Coastal Care – Community Care Plan – Region 19 for MMA – Region 9 & 11 for MA
Coastal Care – Magellan Complete Care – Region 4,5 & 7 only
Coastal Care – Miami Children – Region 9 & 11 only
Coastal Care – MMM of Florida – Region 9, 10 & 11 only
Coastal Care – Molina Healthcare of Florida – Region 8 & 11 only
Coastal Care – Prestige Health Plan – Region 9 & 11 only
Coastal Care – Staywell of Florida – Region 8-11 no CMS patients
Coastal Care – Vivida Health Plan – Region 8 MMA only
Community Care of Oklahoma
Coventry Health
Delaware Life Insurance Company
EON Health
Evergreen Health
First Choice Health Plan of Alabama
First Choice Health Plan of Louisiana
First Choice Health Plan of Mississippi
First Choice Health Plan of Tennessee
Health Choice of Oklahoma
HealthChoice Oklahoma
Healthfirst Texas
Healthy Blue Louisiana
Highmark Blue Cross Blue Shield -West Virginia Highmark BlueCross BlueShield Delaware – Health Options
HP of West Virginia
Independent Living Systems
Integra – Windsor Health Plan
Medgroup – MPI Texas Choice Network (TTC)
Medicaid of Alabama
Medicaid of Arkansas
Medicaid of Delaware
Medicaid of Florida
Medicaid of Kentucky
Medicaid of Louisiana
Medicaid of Maryland
Medicaid of Mississippi
Medicaid of North Carolina
Medicaid of Oklahoma
Medicaid of South Carolina
Medicaid of Texas
Medicaid of Vermont
Medicaid of Virginia
Medicaid of West Virginia
Medical Associates Health Plan
Molina Healthcare of Mississippi
Molina Healthcare of South Carolina
Molina HealthCare of Texas, Inc.
Multiplan – Kentucky Health Administrators, LLC
North Carolina State Health Plan
Nuestra Familia Medical Group
Optima Health Plan
Oscar Health FL
Oscar Health GA
Oscar Health TN
Oscar Health TX
Oscar Health VA
Plan Vista Solutions (aka NPPN)
Prestige Health Choice (regions not covered under Coastal Care)
Prime Health Services
Pruitt Health Premier
Reliacare – Arkansas Superior Select, Inc.
Rockport Healthcare Group
South Florida Community Care Network
Team Choice
UF Ped -I- Care
Ultimate Health Plan
VIVA Health, INC.
