Ohio
Provider Communications
Electronic data interchange overview
Please note:
- Commercial and Medicare Ohio policies with Anthem Blue Cross and Blue Shield (Anthem) will continue to be submitted to Availity.* Only specific Ohio Medicaid polices will be submitted to ODM.
- Availity will reject Ohio Medicaid EDI submissions on their response reports if received.
EDI trading partner:
- If your organization uses practice management software, you must register as a trading partner with
- If your organization uses a vendor or clearinghouse, please work with them to ensure they are a trading partner with ODM.
Registration and contact information:
- Email: EDI-TP-Comments@medicaid.ohio.gov
- Integrated Health Desk (EDI): 800-686-1516, option 3
- Trading Partner Enrollment
EDI transactions through ODM:
- Healthcare Claim: Professional (837P)
- Healthcare Claim: Institutional (837I)
- Healthcare Claim: Dental (837D)
- Healthcare Eligibility Benefit Inquiry and Response (270/271):
- Availity can be used for your real-time requests.
- Healthcare Services Prior Authorization (278)
- Healthcare Services Inpatient Admission and Discharge Notification (278N)
- Healthcare Claim Payment/Advice (835)
- Healthcare Claim Status Request and Response (276/277):
- Availity can be used for your real-time requests.
- Medical Attachments (275)
EDI payer ID for Anthem:
- 0002937: medical claims
- D002937-dental claims
- V002937-vision claims
- T002937-transportation claims
Electronic remittance advice (835)
- The electronic remittance advice (835) must be registered with ODM for the Ohio Medicaid plan; Please work with your vendor or clearinghouse to enroll your 835’s with ODM
- 835 Enrollment Instructions
- 835 Enrollment Form
- 835 files will be delivered to ODM.
- Paper Remittance Advice Images can be viewed in Availity under Payer Spaces > Remit Inquiry
- Ohio Commercial and Medicare policies with Anthem Blue Cross and Blue Shield will continue to be registered and managed by Availity.
Note: If you use a clearinghouse or vendor, please work with them on ERA registration and receiving your ERAs with ODM.
Electronic funds transfer
Electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. An EFT deposit is assigned a trace number that is matched to the 835 ERA for simple payment reconciliation.
Use EnrollSafe (https://enrollsafe.payeehub.org) to register and manage EFT account changes.
Featured In:
February 2023 Anthem Provider News - Ohio