Ohio’s healthcare market is anchored by major health systems like Cleveland Clinic, OhioHealth, and UC Health, but thousands of independent practices and small groups still drive the state’s primary and specialty care. The commercial payer market is led by Medical Mutual of Ohio, Anthem BCBS, UnitedHealthcare, and Humana, while Ohio Medicaid managed care runs through CareSource, Buckeye Health Plan, Molina, and others. Go Medical Billing serves Ohio practices statewide.
Ohio Medicaid Managed Care
Ohio’s Medicaid program covers over 3 million residents through managed care plans including CareSource, Buckeye Health Plan (Centene), Molina, AmeriHealth Caritas, Anthem, and UHC Community Plan. Each MCO has distinct authorization requirements and claims processes. We handle them all.
Medical Mutual of Ohio
Medical Mutual is Ohio’s oldest and largest health insurer, and their claims system has specific edits and rules that differ from national carriers. Our team processes Medical Mutual claims daily.
Medicare in Ohio
Medicare Part B in Ohio is processed by CGS Administrators in some regions and Novitas in others. We apply the correct MAC specific policies based on your practice location.
Starting at 2.49% of collections. Ohio billers cost $36,000 to $48,000 annually. Our full team costs a fraction of that.
Do you handle Ohio Medicaid billing?
Yes. We bill and credential with CareSource, Buckeye, Molina, AmeriHealth, Anthem, and every other Ohio Medicaid managed care plan.
Call 888 701 6090 for a free Ohio billing assessment.
