CareSource Ohio Marketplace
dentalmedicalvision
Summary
CareSource Ohio Marketplace is a dental, medical, and vision payer operating in Georgia and Ohio. Claims route under payer ID 31114, with 6 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
31114Also seen as 00110, 2526, 31114MA, 3826, CKOH2, CRSROH- Also known as
- CareSource Dual-Eligible Special Needs Plan, CareSource Ohio, CareSource Ohio Community Transition Plan, CareSource Ohio Dual Eligible (MyCare)
- Service area
- GA, OH
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for CareSource Ohio Marketplace?
- The payer ID for CareSource Ohio Marketplace is 31114. Alternate IDs seen across clearinghouses include 00110, 2526, 31114MA, 3826.
- Does CareSource Ohio Marketplace require ERA enrollment?
- Yes. CareSource Ohio Marketplace requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does CareSource Ohio Marketplace cover?
- CareSource Ohio Marketplace operates in GA, OH. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does CareSource Ohio Marketplace offer?
- CareSource Ohio Marketplace covers dental, medical, and vision.
- Can I submit claims to CareSource Ohio Marketplace electronically?
- Yes. CareSource Ohio Marketplace is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.