The Healthcare Simplification Act (HB125) is composed of reforms to simplify administrative demands on health care providers to bring transparency to the contracting process, to ensure fairness in contracting and to promote a standardized provider credentialing process. Specifically, HB125 requires a summary disclosure form for contracts between certain health care providers and health plans, along with a full disclosure of fee schedule information, categories of products or networks, and terms under which contracts can be changed. It also limits the use of "most favored nation clause" and eliminates "all products" clauses that require providers to participate in all of a health plan's products as a condition of participating in any one product. HB125 requires a standardized credentialing process for Ohio physicians. As an Ohio provider contracted with HealthLink, Inc. (HealthLink), this site provides you with various tools and resources for disclosure of certain information as outlined in HB125.

• Request Fee Schedule (Allowed Amount) and HealthLink Payor Listing
  
  
• Claim Processing Guidelines (Includes Significant Edits, Custom Edits and Modifiers 25 and 59)
  
  
• Claim Processing Definitions
  
  

If you have questions pertaining to HB125, please contact your local HealthLink Ohio network representative. If you are not sure who your network representative is, please complete the following Contact Us form and a representative will contact you soon.