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Health Insurer Information

The AMCNO has been providing information to our members about the third party payers operating in Ohio for more than 30 years and we are committed to helping our members deal with the payers when possible.  Listed here are links to Ohio’s third party payers and government agencies-the web sites provide detailed information on latest updates and changes.  To learn how the AMCNO can assist you with third party payor issues click here… link to AMCNO Third Party Payor Review Request Form

• Anthem
• Humana
• UnitedHealthcare
• Medical Mutual of Ohio
• Medicaid
• Medicare
• Ohio Bureau of Workers’ Compensation
• Availity

Availity

The Academy of Medicine of Cleveland & Northern Ohio (AMCNO), as a part of a statewide initiative between AHIP, the Blue Cross and Blue Shield and eight leading health plans in Ohio, is encouraging members to explore Availity, a multi-payer web portal solution for:

• researching a patient’s eligibility and benefits coverage,
• managing referrals to specialists,
• clearing authorizations for treatment, and
• submitting and reviewing the disposition of claims.

The Availity health information network and web portal will help The Academy of Medicine of Cleveland & Northern Ohio (AMCNO) members achieve administrative savings by simplifying the exchange of information between providers and payers.

 

Our role at the Academy of Medicine of Cleveland & Northern Ohio (AMCNO)

The Ohio portal initiative is a one-of-a-kind collaborative effort between health plans, medical providers and professional associations to deliver immediate efficiencies and cost savings across the continuum of care.   The Academy of Medicine of Cleveland & Northern Ohio (AMCNO) is pleased to support such a solution.

Consistent usage and early adoption of the Availity portal as a savings tool will give Ohio a greater voice in defining best practices in health care administrative processes—and gives our physicians, health plans and patients the benefit of immediate cost savings.

Health plans participating in the multi-payer portal include:

• Aetna
• Anthem Blue Cross and Blue Shield
• CIGNA
• Humana
• Kaiser Permanente
• Medical Mutual of Ohio
• UnitedHealthcare
• WellCare Health Plans, Inc.

The portal is easy to use; health care providers can start saving time and money with minimal training and without changes to their expensive office systems. World-class support teams help users online and via telephone.

Portal launch partners will capture portal usage information for the next 12 months, and identify the merits of a collaborative service among Ohio physicians for a potential expansion to other states and addition of other services.  The information will be used to define best practices in health care administration, among stakeholders nationwide.

Physicians interested in using the portal should begin by registering for Availity at http://www.availity.com/providers/registration-details/. Upon completing and returning your signed application, Availity will send your login information to you within a few days. It’s that simple. Once you login in to the secure portal, you’ll have access to free live training, help, and other resources to ensure you get the most out of your Availity experience. Client service representatives are available Monday through Friday to help answer your questions at 1.800.AVAILITY (282.4548).  For more information about Availity and to see a demonstration of the portal, go to http://www.availity.com/demo/  No log-in is required.

AMCNO Health Insurer Code of Conduct Principles

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