Clinical Reference

OhioHealthy provides clinical reference materials offering the most current recommendations in disease management and other healthcare services based on national guidelines, literature review, and clinical experience.

Reference Materials

Important! 2021 Claims Runout Extended to June 30, 2022

IT IS IMPORTANT THAT OUR CLAIMS DEPARTMENT RECEIVES ALL CLAIMS FOR THE CALENDAR YEAR 2021 NO LATER THAN JUNE 30, 2022.

ALL CLAIMS PROCESSING INCLUDING INITIAL CLAIMS, CORRECTED CLAIMS, APPEALS AND RESUBMISSIONS NEED TO BE RECEIVED BY THIS TIME IN ORDER TO ENSURE THEY CAN BE FULLY PROCESSED. FAILURE TO DO SO COULD RESULT IN DELAYED PROCESSING

2021 claims submission:

The EDI number for electronic submission of 2021 claims is 54154
The mailing address for 2021 paper claims is P.O. Box 5806, Troy, MI 48007-5806

2022 claims submission:

The EDI number for electronic submission of 2022 claims is 34158
the mailing address for 2022 paper claims is P.O. Box 2582, Hudson, OH 44236-2582

Questions?

Send an email to: ProviderRelations@OhioHealthyPlans.com.

Providers