Contact Us

Credentialing Services

Toll-Free: 1 (800) 455.4460
Phone: 1 (614) 566.0056
Email: OhioHealthCredentialing@OhioHealth.com
Website: OhioHealth Credentialing Services


Provider Services Information

Provider Services Center

Phone: 1 (844) 853.4060
Fax: 1 (877) 822.7503
Monday - Friday, 8 a.m. to 5 p.m. EST
Email: providerservicesOH@optimahealth.com

Network Educator

Escalated claims issues, remittance issues, and general questions.

Phone: 1 (833) 910.1138, option 2
Email: bjstebbi@sentara.com


Authorizations and Claims Information

Medical Pre-Authorization

Phone: 1 (800) 229.5522
Fax: 1 (844) 202.5034

Behavioral Health Pre-Authorization

Phone: 1 (800) 648.8420
Fax: 1 (844) 202.5036

Paper claims submission:

OhioHealthy Claims
PO Box 5806
Troy, MI 48007-5806

Questions related to EFT/ERA Enrollment or Changes:

Email: EFT_ERA_Inquiry@sentara.com

New Claims Platform for 2022

Important! New claims platform coming to OhioHealthy in 2022

Effective January 1, 2022, OhioHealthy will transition to a new claims platform and we want you to be ready!

IT IS IMPORTANT THAT OUR CLAIMS DEPARTMENT RECEIVES ALL CLAIMS FOR THE CALENDAR YEAR 2021 NO LATER THAN MARCH 31, 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 current EDI number for electronic submission is 54154
  • the current claims mailed address for paper claims is P.O. Box 5806, Troy, MI 48007-5806

Coming soon! More information about the new platform and processes.

Questions?
Send us an email at ProviderRelations@OhioHealthyPlans.com.

Providers

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