Electronic data interchange overview

All electronic data interchange (EDI) transmissions for Ohio Medicaid Managed Care membership must be submitted to the Ohio Department of Medicaid (ODM).

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.

* Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield.