Medical Drug Authorization Forms
Pharmacy General Exception Forms
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.
Send us an email at ProviderRelations@OhioHealthyPlans.com.