Thank you for your interest in HealthSpan, the largest provider sponsored PPO in the Greater Cincinnati / Tri-State region.
Physicians and Allied Health Providers
A CAQH application is required for specific allied health providers and physicians and must be completed, printed and mailed to HealthSpan for review.
The physician CAQH application may be obtained directly from CAQH at: www.CAQH.org/credapp
Ancillary Service Providers
Ancillary applicants may obtain a special HealthSpan application by calling 513-551-1400.
Submitting Your Completed Application
Please mail completed applications to:
Pictoria Tower I
225 Pictoria Drive, Suite 320
Cincinnati, OH 45246
Review and Approval
HealthSpan will review your application against specific for participation in addition to the American Accreditation Commission / URAC standards. Submitting an application does not automatically make you a HealthSpan network provider. We will contact you regarding your participation status at the conclusion of the review process.
Participating providers may call 513-551-1440 during regular business hours (Mon-Fri, 8am-4pm EST) to request a copy of the reimbursement schedule or payer.