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.
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.
Our client base consists of the following types of organizations:
• Third Party Administrators
• Insurance Companies
• Taft-Hartley Funds
• Health & Welfare Funds
• School Districts
• Multiple Employer Groups
• Self-Insured Employers
CHP is a community based provider network providing coverage in Ohio, including: Akron, Canton, Cincinnati, Cleveland, Columbus, Dayton, Toledo and Youngstown.
CHP provides flexibility in all phases of claim re-pricing including:
• On-site re-pricing
• EDI capabilities
• Internet alternatives
• System download
• Dial-in modem
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.
The most current directories are available on-line. Simply visit www.creativehealthplans.com and select “Provider Directory” to obtain the most current provider information.
CHP has national coverage through various PPO affiliate partners for employees residing outside the service area.
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.
CHP engages a medical director, peer review board and registered nurses to oversee the company’s cost containment efforts.
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.