Frequently Asked Questions
How is CPAN different from for-profit networks?
Our mission and services are designed to serve our members directly. We do not make decisions based on profitability of the network. Instead, our decisions are guided based on offering the greatest opportunities for success to our members.
What is your billing structure?
At CPAN, our fees are based on a per-admission usage. This flat fee ensures that your organization receives appropriate reimbursement – after fees – for the service you provide to patients.
Who are your members? Who is using CPAN?
Our membership is growing every day. We currently have more than 300 facilities offering a variety of skilled nursing service in rural, urban, and suburban communities across Ohio. For a partial list of member facility and facility groups, visit our Facilities page.
How do I become a member of CPAN?
Contact Lisa Cowden, the Vice President of Strategic Partnerships, for new partner opportunities and process at 513-777-2371, extension 1025.
Do you have Mycare Ohio Contracts or addendums to your contracts?
Our contracts are amended to include the Mycare Ohio Lines of Business for Buckeye, CareSource, Molina. We also hold a network contract for the Aetna Better Living Ohio Mycare Plans.
How long does it take to participate in your managed care contracts?
All new providers must complete the credentialing process to be loaded onto our network managed care contracts. The credentialing process can take up to 90 days unless it’s with a payer we are delegated for credentialing. Our delegated contracts will allow you to move onto the contracts within 30 days or less based on the time of the month that you enter the network.
Does CPAN pre-cert for Part A and Part B services?
CPAN facilitates the pre-cert authorizations for Part A services only. Our contracts cover Part B services but the provider is responsible for obtaining authorization for Part B services.
How does CPAN process claims on behalf of the providers?
CPAN doesn’t provide billing services for the providers. CPAN does provide billing templates with the information needed for the provider to create and submit their claims to the payor directly. The providers will receive their payments directly from the payor.
We understand that you need an answer quickly, and our team is committed to meeting your needs quickly and efficiently.
As a network built by providers, we are here to meet your needs and offer the services that will help you compete.
Our programs are designed to support your efforts to improve quality care and patient outcomes.
We know that you value clear communication and documentation, and our processes are designed to make that happen.
Our mission is to create a provider network that offers excellent customer service, contract access and case management services that will allow our providers to compete in a highly challenging health care marketplace.