Next Generation MyCare Ohio - Buckeye
dentalmedical
Summary
Next Generation MyCare Ohio - Buckeye is a dental and medical payer operating in Ohio. Claims route under payer ID 0021583, with 4 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 a few days.
At a glance
- Payer ID
0021583Also seen as 16729, 21583, SKOH16, SKOH17- Also known as
- Next Generation MyCare Buckeye Community Health Plan
- Service area
- 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 |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for Next Generation MyCare Ohio - Buckeye?
- The payer ID for Next Generation MyCare Ohio - Buckeye is 0021583. Alternate IDs seen across clearinghouses include 16729, 21583, SKOH16, SKOH17.
- Does Next Generation MyCare Ohio - Buckeye require ERA enrollment?
- Yes. Next Generation MyCare Ohio - Buckeye requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does Next Generation MyCare Ohio - Buckeye cover?
- Next Generation MyCare Ohio - Buckeye operates in OH. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Next Generation MyCare Ohio - Buckeye offer?
- Next Generation MyCare Ohio - Buckeye covers dental and medical.
- Can I submit claims to Next Generation MyCare Ohio - Buckeye electronically?
- Yes. Next Generation MyCare Ohio - Buckeye 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).
Related payers
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 Spot something out of date?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.