OhioHealthy
medicalvision
Summary
OhioHealthy is a medical and vision payer operating in Ohio. Claims route under payer ID 48116, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
48116Also seen as 1838, 3652, 5472- Also known as
- OhioHealth
- 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 |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for OhioHealthy?
- The payer ID for OhioHealthy is 48116. Alternate IDs seen across clearinghouses include 1838, 3652, 5472.
- Does OhioHealthy require ERA enrollment?
- Yes. OhioHealthy requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does OhioHealthy cover?
- OhioHealthy operates in OH. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does OhioHealthy offer?
- OhioHealthy covers medical and vision.
- Can I submit claims to OhioHealthy electronically?
- Yes. OhioHealthy is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
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 Spot something out of date?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.