History
Creative Health Plans, Inc. (CHP) is a member of The Chandler Group of Companies. The Chandler Group acquired CHP July 1, 2000, to provide immediate access to POS and EPO products. CHP provides health care delivery to over 200,000 individuals with its vast network of over 23,000 physicians and 230 hospitals throughout Ohio and contiguous states.

Credentialing
Our directly contracted providers are invited to participate in the network upon completion of a comprehensive credentialing process. Hospital and physician credentialing is consistent with NCQA standards. Physician recredentialing is performed every three years.

Clientele
Our client base consists of the following types of organizations:
• Third Party Administrators
• Insurance Companies
• Corporations
• Taft-Hartley Funds
• Health & Welfare Funds
• School Districts
• Multiple Employer Groups
• Self-Insured Employers

Service Area
CHP is a community based provider network providing coverage in Ohio, including: Akron, Canton, Cincinnati, Cleveland, Columbus, Dayton, Toledo and Youngstown.

Claims Re-pricing
CHP provides flexibility in all phases of claim re-pricing including:
• On-site re-pricing
• EDI capabilities
• Internet alternatives
• System download
• Dial-in modem

Access Fees
Fees are charged in a per employee per month basis (PEPM) or a percentage of savings and fees will vary according to selection of services.


Provider Directories
The most current directories are available on-line. Simply visit www.creativehealthplans.com and select “Provider Directory” to obtain the most current provider information.

National Access
CHP has national coverage through various PPO affiliate partners for employees residing outside the service area.

Reporting Capabilities
National hospital and physician access reports are available through our GEOAccess reporting capabilities. The Chandler Group’s in-house data analysis system, ProClaim, produces a variety of customized reports by geographic region, by client, by provider and/or by patient.

Medical Management
CHP engages a medical director, peer review board and registered nurses to oversee the company’s cost containment efforts.

Client Services
Our staff of experienced and friendly professionals can be reached by calling 800.266.5896 between 8:30 am – 5:00 pm Eastern Standard Time. Client Service Representatives can be assigned a specific client.

© 2003 by The Chandler Group Of Companies. All Rights Reserved.
4301 Darrow Road, Stow, Ohio 44224 USA
330.686.7000 | 800.266.5896 | info@interplancorp.com