IMPORTANT UPDATE: Ohio Medicaid is upgrading its claims payment system as part of our Next Generation of Managed Care program. Regarding the Ohio Medicaid Enterprise System (OMES) phased implementation approach, we wanted to alert providers that the Provider Network Management (PNM) module and MITS will be down for maintenance on Tuesday, January 31, 2023 from 11:00am through Wednesday, February 1, 2023 at 7:00am. Effective February 1 at 7:00am, the new Electronic Data Interchange (EDI) solution and the Fiscal Intermediary (FI) will be operational. If you use PNM and MITS to conduct your Direct Data Entry Portal business, that functionality will also be available at 7:00am on February 1. If you add/update hospice data in the MITS portal after 7:00pm on Sunday, January 29, 2023, it will not be made available for claims processing until 7:00am on February 1.
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Sunday 02/25/2024 7:56:49 AM
Ohio Department of Medicaid
 
Trading Partner Home
Electronic Data Interchange (EDI)

Electronic claim submission is a faster, more efficient method of claims submission that creates less paperwork, less claims preparation, and no postage or mailing costs. If you are interested in becoming an electronic submitter aka trading partner, complete the steps below or contact EDI Support by telephone at 844-324-7089 or by email at ohiomcd-edi-support@dxc.com.

Trading Partner Enrollment

The first step to enrolling as a trading partner with the Ohio Department of Medicaid (ODM) is to send an email to ohiomcd-edi-support@dxc.com with the subject line: Request to become an ODM Trading Partner. Please note, ODM will use the email address the email was sent from to establish the username for this process.

The EDI Support Team will respond to the email with a link and details that will guide you through the process of selecting EDI Transaction sets as well as establishing the points of contact for your business. These instructions will assist you in completing and submitting the enrollment applications.

Trading Partner Agreement

The Trading Partner Agreement (TPA) is a contract between parties who have chosen to become electronic business partners. The TPA stipulates the general terms and conditions under which the partners agree to exchange information electronically. The document defines participant roles, communication, privacy and security requirements, and identifies the electronic documents to be exchanged. The TPA is used by all entities that wish to establish an electronic relationship with the state. TPA signature approvals are required prior to testing. EDI production transactions will not be allowed until all testing has been successfully completed.

Click here to download the TPA. Follow the submission instructions to prevent delays in your application

Trading Partner Information Guide

This document includes a base set of instructions on exchanging data, maintaining user information, connecting to the server, frequently asked questions and troubleshooting.
  • Click here to be directed to the TP website and the TP Information Guide.
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