Provider data on facility claims

As a reminder, all provider data on claims must be accurate and match the Ohio Medicaid (ODM) provider network management (PNM) website. Per ODM hospital billing guidelines, all required data elements must match provider information, including but not limited to, attending provider name, national provider identifier (NPI), and tax identification number (TIN). In addition, providers must be an active ODM provider when their information is submitted on a claim. If a claim does not meet these requirements, it will be denied.

For more information on the hospital billing guidelines for ODM, visit medicaid.ohio.gov, select Resources for Providers, then select Billing, then ODM Hospital Billing Guidelines or select here.

Contact us

Availity* Chat with Payer is available during normal business hours. Get answers to your questions about eligibility, benefits, authorizations, claims status, and more. To access Availity Essentials, go to availity.com and select the appropriate payer space tile from the drop-down. Then, select Chat with Payer and complete the pre-chat form to start your chat.

For additional support, visit the Contact Us section at the bottom of our provider website for the appropriate contact.