Provider Connection Registration

Common Questions About our Self-Service Feature

What transactions are available to providers on OhioHealthyPlans.com's Provider Connection?

Web-based access to OhioHealthy's medical plan information including:

  • Member eligibility
  • Authorization status and OB authorization submission
  • Detailed claim status
  • Ability to view remits and pend reports
  • Access to C3 Clear Claim Connection

Who can sign up for Provider Connection?

Any health care providers or staff (i.e., physicians, clinicians, office staff) that may require access to member information such as eligibility, claim status, authorization status, and/or OB authorization creation.

How do I get started?

  1. Set up your internet access. For optimum performance, high-speed internet access is desired (DSL, cable or network).
  2. All authorized users must agree to the Statement of Responsibility and Confidentiality.
  3. Complete the online Provider Connection Enrollment form.
  4. You will be contacted by Network Management with your sign on ID and password.

Can I register for Provider Connection online?

Yes. Simply complete the Provider Connection Enrollment Form.

Who can I contact if I have questions about the registration process?

OhioHealthy Provider Services
Phone: 1 (844) 853.4060
Fax: 1 (877) 822.7503
Monday - Friday, 8 a.m. to 5 p.m. EST

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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