- Nationwide Provider Network
Nationwide® Provider Network
Effective
January 1, 2008, Nationwide® discontinued provider network
operations.
The following information is intended to clarify what this change means to your practice, help you confirm eligibility of Nationwide members and assist you with resolving outstanding claims or contract questions.
Frequently Asked Questions
1. Does Nationwide still provide health coverage?
Nationwide continues to provide coverage to members who have health insurance products that either:
- use another provider network or
- don't require members to use a provider network
2. If Nationwide still provides coverage, why was my contract terminated?
Nationwide determined that it was no longer necessary to maintain the Nationwide Health Provider Network. Therefore, contracts were terminated and the Nationwide Health Provider Network was dissolved.
3. How can we identify members still insured by Nationwide?
The most effective way to verify a member's eligibility is by contacting Customer Service at the phone number provided on the member's ID card. We understand that might not always be feasible, so we have prepared information in the table below to help you identify members still insured by Nationwide. ID cards not included in the descriptions below are likely outdated and invalid.
| Group | Network | ID Card Attributes |
|---|---|---|
| Ohio Farm Bureau | SuperMed Plus (MMO) |
|
| Nationwide agents and other network plans | First Health (formerly CCN) |
|
| Medicare Supplement Household members and other non-network plans | None. Member's benefit is the same regardless of provider. |
|
4. Did Allied National members move to another network?
Allied National moved all members to other provider networks effective 1/1/2008. To obtain network and benefit information for those members, contact Allied National at 1-800-825-7531.
Claims
Claims must be filed within 15 months of the date of service. For questions concerning claims or eligibility, please refer to the member's ID card effective on the date of service.
For Ohio Farm Bureau health plan members, providers with an Emdeon (formerly WebMD) contract may access the Emdeon website to file claims electronically. The Nationwide Emdeon Payer ID is 314177100. Claims for dates of services rendered after 1/1/08 will not be accepted by Nationwide and must be submitted to Medical Mutual of Ohio.
For details regarding claim filing for members of Allied National, you may visit their website.
Appeals
Appeals for processed claims must be submitted within 180 days of the date recorded on the explanation of payment.
Provider Administrative Manual
Access our administrative manual to find the details regarding the administrative requirements and processes required by your agreement.
Provider Network Questions
Customer Service is available to answer your questions and provide
assistance at
1-800-372-0713.
We appreciate the services you have provided to our members over the years and wish you all the best in the future.
