Claims

Important: Effective Feb. 1, 2023, provider claims submitted to trading partners must include the 12-digit ODM assigned Medicaid member ID (MMIS), else they will be rejected by ODM.

We want to make it as easy as possible to conduct business with us. In addition to information about how to submit claims and check payments, Ë¿¹Ï¶ÌÊÓƵ offers you tools to find specific information, such as claim status and member coordination of benefits (COB) status. 

Ë¿¹Ï¶ÌÊÓƵ accepts claims in a variety of formats, including online and paper claims.

Preferred Option: Submit Claims Online

Providers have the option to submit claims through our secure, online . You can submit claims (along with any documentation), track claim payments and more. Ë¿¹Ï¶ÌÊÓƵ offers this service at no cost.

We encourage you to submit claims online to take advantage of the following benefits:

  • Faster claim processing
  • Reduced administrative costs
  • Reduced probability of errors or missing information
  • Faster feedback on claim status
  • Minimal staff training or cost

Refer to the Provider Manual for detailed information to submit claims.

The ability to submit claims through the Provider Portal will no longer be available once the Ohio Department of Medicaid implements Stage 3b.

Get Paid Electronically

Ë¿¹Ï¶ÌÊÓƵ has partnered with ECHO Health, Inc. to deliver provider payments. ECHO offers three payment options:

  1. Electronic fund transfer (EFT) – preferred
  2. Virtual Card Payment (QuicRemit) – Standard bank and card issuer fees apply*
  3. Paper Checks

*Payment processing fees are what you pay your bank and credit card processor for use of payment via credit card.

Enrollment Instructions

 for payment and choose EFT as your payment preference for Ë¿¹Ï¶ÌÊÓƵ.

Questions? Call ECHO Customer Support at 1-888-834-3511.

Alternative Option: Submit Paper Claims

For the most efficient processing of your claims, Ë¿¹Ï¶ÌÊÓƵ recommends you submit all claims electronically. Paper claim forms are encouraged only for services that require clinical documentation or other forms to process. If providers choose this option, we advise you upload images of the paper claims via the . Refer to the Provider Manual for instructions to submit paper claims.

The ability to submit paper claims will end once Ohio Department of Medicaid (ODM) implements Stage 3b.

Non-Participating Providers

Non-participating providers may submit claims to Ë¿¹Ï¶ÌÊÓƵ using the . Ë¿¹Ï¶ÌÊÓƵ is unable to process claims without this information. Please be sure to attach your W-9 form when you submit this online form.