Payer Contracts for Rainbow Babies & Children’s Hospital

Listed below are the payer contracts for University Hospitals Rainbow Babies & Children’s Hospital of University Hospitals Case Medical Center.

• Aetna
• Aetna Institute of Excellence (Transplant Network) 
• Anthem
• *Aultcare (RB&C/UHC is a tertiary provider for this payor, prior authorization for tertiary services is required)
• Beech Street
• Blue Distinction Centers for Transplant (Transplant Network)
• Buckeye Community Health Plan
• Buckeye Preferred Network
• Cardinal Preferred Care
• CareSource
• Century Health Network
• Choice Care/Humana
• Cigna
• Cigna Lifesource (Transplant Network)
• Cofinity
• DirectCare America
• Emerald Health Network
• First Health Network
• Fortified Provider Network
• Great-West Healthcare (formerly One Health Plan)
• *Health Plan (RB&C/UHC is a tertiary provider for this payor, prior authorization for tertiary services is required)
• HealthLink
• HealthNet Federal Services/Tricare
• Klais Health Network
• MMO (excludes SuperMed products)
• MultiPlan
• Ohio Health Choice Plan
• Ohio Preferred Network
• Paramount (Transplant Network)
• PPONext
• Primary Health Services
• PrimeNet
• Private Healthcare Systems
• Strategic Health Development (Transplant Network)
• Student Insurance
• SummaCare
• Unicare Life & Health Insurance Co.
• Unison
• United Resource Networks (Transplant Network)
• WellCare

This list contains Payors that have contracted with University Hospitals Case Medical Center and University Hospitals Rainbow Babies & Children’s Hospital.  This list does not include the participation status of specific products offered by each Payor.  Please verify University Hospitals Rainbow Babies & Children’s Hospital participation status with the Payor prior to patient referral.  Transplants may be excluded, depending on the Centers of Excellence status.  All transplant insurance should be verified prior to service.  Mental Health services may also be excluded, please check with the insurance plan.  Most plans require prior authorization for referral to University Hospitals Case Medical Center.  If you need help to refer a patient, call Physician Services at 216-844-7553.