AmeriHealth Caritas Ohio Providers
ConnectCare Update
AmeriHealth Caritas Ohio is pleased to share Optum’s (formerly Change Healthcare) direct entry claims portal, ConnectCenter, is available for reconnection as of July 15, 2024 for providers with existing accounts.
If you were registered with ConnectCenter prior to the security incident, you will access the portal in the same manner. It is not necessary to complete a new registration, and your username will remain the same.
To reconnect:
- Access the login page at via the Claims submission link in the NaviNet provider portal or via direct links: connectcenter.changehealthcare.com or physician.connectcenter.changehealthcare.com.
- Follow the instructions on the login page to reset your password and to set up the required multi-factor authentication.
For more information on available functionality, please review the release notes in the Product News section after signing into the ConnectCenter portal.
Please reference the contact information below to engage with Change Healthcare support services:
| Phone Number | Support Email Address | Support Services |
|---|---|---|
| 1-800-527-8133, option 7 | ConnectCenter_MFAsupport@optum.com | CC/EC MFA and User/Admin Access Assistance |
| 1-800-527-8133, option 1 | edienrollmentsupport@optum.com | EDI Provider/Submitter Registration and Payer Enrollment Assistance |
| 1-800-527-8133, option 2 | AssuranceEDI.Support@optum.com | EDI Claim, Remittance and Claim Status Transaction Assistance |
If you have other questions, you may contact AmeriHealth Caritas Ohio Provider Services at 1-833-644-6001.
We appreciate your partnership and patience as we work to re-establish services and will continue to share additional information as it becomes available.
Latest updates
Electronic claims submission
Providers with Electronic Data Interchange (EDI) capabilities may submit claims, eligibility inquiries, claim status inquiries, and associated attachments using Electronic Data Interchange (EDI) by being a trading partner (TP) authorized by ODM or by contracting with an ODM-authorized TP. For more information, visit https://medicaid.ohio.gov/resources-for-providers/billing/trading-partners/trading-partners.
Direct claim entry
Direct Data Entry (DDE) providers should submit claims via the AmeriHealth Caritas NaviNet Provider Portal. Visit our claims and billing page for more information.
Medicaid Annual Eligibility Redetermination Reviews
Important information for providers regarding Annual Eligibility Redetermination Reviews.
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Ohio Department of Medicaid (ODM) billing guidelines
- Ohio Department of Medicaid billing information
- ODM HIPAA Transaction Standard Companion Guide: 837 Institutional Fee-For-Service Claims (PDF)
- ODM HIPAA Transaction Standard Companion Guide: 837 Professional Health Care Claim (PDF)
- ODM HIPAA Transaction Standard Companion Guide: 837 Dental Fee-For-Service Claims (PDF)
AmeriHealth Caritas Ohio’s Payer ID
- For all claims EXCEPT transportation: 35374
All claims sent to AmeriHealth Caritas Ohio, through the central PNM portal, should include the AmeriHealth Caritas Ohio Payer ID in 1000B Receiver Loop and 2010BB Payer Name Loop.
AmeriHealth Caritas Ohio Provider Services is available Monday through Friday, 7 a.m. to 8 p.m., except for the following holidays: New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Thanksgiving Day, the day after Thanksgiving, and Christmas Day. Phone: 1-833-644-6001. Emergency closures will be listed on our Alerts and Newsletters page.