Buckeye Health Plan

Summary

Buckeye Health Plan is a Medicaid managed care organization, part of Centene Corporation, offering dental, medical, and vision coverage operating in Ohio. Claims route under payer ID 0004202, with 4 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Buckeye Provider Portal, and CAQH is used for credentialing data. 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

0004202Also seen as 42020, 7068, 9457, SKOH3

Also known as

Buckeye Health Plan Medicaid Behavioral Health, Buckeye Health Plan Medicaid Medical, Buckeye Health Plan Medicaid Vision, Buckeye Ohio Medicaid, Centene Ohio Medicaid Managed Care Entity

Uses CAQH

YesApplication route: Payer portal application

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 Buckeye Health Plan?

The payer ID for Buckeye Health Plan is 0004202. Alternate IDs seen across clearinghouses include 42020, 7068, 9457, SKOH3.

How long does Buckeye Health Plan provider enrollment take?

Buckeye Health Plan provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Buckeye Health Plan require CAQH?

Yes. Buckeye Health Plan uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Buckeye Health Plan require ERA enrollment?

Yes. Buckeye Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Buckeye Health Plan cover?

Buckeye Health Plan operates in OH. Coverage can differ by plan and product line, so confirm the specific plan before you file.