Phone Number
1-877-469-3263

Transaction Type/Format

CMS-1500 - Professional (837P)
UB04 - Institutional (837I)
Eligibility Inquiry/Response (270/271)
Claims Status Inquiry/Response (276/277)

Payer ID
20149: Applicable to MyCare Ohio, Medicare, and Marketplace lines of business

*Ohio Medicaid Providers: Effective Feb. 1, 2023, EDI transactions (excluding prior authorization requests) must be directed through the Ohio Department of Medicaid Fiscal Intermediary, OMES. Please refer to Trading Partners | Medicaid (ohio.gov) for contact information.

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MCO PAYER NAME (NM103) 837 2010BB NM109 276/277 2100A NM109 270/271 2100A NM109 275 1000A NM109
Molina Molina Ohio Medicaid 0007316 0007316 0007316 0007316
Molina SKYGEN Dental D007316 D007316 N/A D007316
Molina March Vision V007316 V007316 N/A V007316