Aetna OhioRISE Medicaid Managed Care Entity

Summary

Aetna OhioRISE Medicaid Managed Care Entity is a medical and vision payer operating in Ohio. Claims route under payer ID 45221, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

45221Also seen as 14387, 9435, OHRISE

Service area

OH

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Aetna OhioRISE Medicaid Managed Care Entity?

The payer ID for Aetna OhioRISE Medicaid Managed Care Entity is 45221. Alternate IDs seen across clearinghouses include 14387, 9435, OHRISE.

Does Aetna OhioRISE Medicaid Managed Care Entity require ERA enrollment?

Yes. Aetna OhioRISE Medicaid Managed Care Entity requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Aetna OhioRISE Medicaid Managed Care Entity cover?

Aetna OhioRISE Medicaid Managed Care Entity operates in OH. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Aetna OhioRISE Medicaid Managed Care Entity offer?

Aetna OhioRISE Medicaid Managed Care Entity covers medical and vision.

Can I submit claims to Aetna OhioRISE Medicaid Managed Care Entity electronically?

Yes. Aetna OhioRISE Medicaid Managed Care Entity is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).