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Buckeye Health Plan

MedicaidNon-ParticipatingInstant 837 Submission

Also covers / subsidiaries: Buckeye Community Health Plan, Buckeye Ohio Medicaid, Centene

Core Payer & Clearinghouse Profile

Electronic Payer ID

68069

68069 is the Centene medical-claims payer ID for Buckeye Ohio Medicaid; behavioral health uses 68068. Shared Centene ID. (Ohio)

Timely Filing Limit (TFL)

365 days from DOS for initial Medicaid claims; corrected within 180 days of the EOP date

Appeal Window

Claim dispute within 12 months of DOS, or 60 days after payment/denial; medical-necessity appeals within 180 days

Clearinghouse Gateway

National Clearinghouse / EDI Gateway

Provider Services

866-296-8731

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

Buckeye Health Plan, P.O. Box 6200, Farmington, MO 63640-3818 (medical). BH: P.O. Box 6150, Farmington, MO 63640.

Provider Portal

https://www.buckeyehealthplan.com/login.html

Ohio Medicaid managed-care plan, a Centene subsidiary.

National EDI Clearinghouse Capabilities

Direct ANSI X12 electronic transaction support verified for Buckeye Health Plan.

837P Professional Claims
837I Hospital Claims
837D Dental Claims
835 ERA Electronic Remittance
270/271 Real-Time Eligibility
276/277 Claim Status Inquiry
Secondary Claim Submission
Worker's Compensation EDI
Electronic Attachments (PWK)

Associated Clearinghouse Payer IDs

National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Buckeye Health Plan.

Clearinghouse NameElectronic Payer IDStatusEnrollmentSupported Services
Absolute Total Care68069Non-ParNone
Advantage By Bridgeway Health Solutions68069Non-ParNone
837P837I835 ERA
Advantage By Buckeye Community Health Plan68069Non-ParNone
837P837I835 ERA
Advantage By Managed Health Services68069Non-ParNone
837P837I835 ERA
Advantage By Superior Healthplan68069Non-ParNone
837P837I835 ERA
Advantage Health Solutions68069ParNone
837P837I270/271Dental

Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.

Tired of Chasing Buckeye Health Plan Denials & Delayed Payments?

Aethera's billing specialists work Buckeye Health Plan every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.

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