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Humana - Healthy Horizons (Ohio Medicaid)

Humana - Healthy Horizons (Ohio Medicaid)

This page contains information you can use to exchange healthcare transactions with Humana - Healthy Horizons (Ohio Medicaid) using Stedi.
Use any of the following payer IDs to send transactions to Humana - Healthy Horizons (Ohio Medicaid) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
61103
Stedi Payer ID
NZFYX
Payer ID aliases
14384, 61103, 7073, 9463, HUMOM, SKOH13, SKOH9
Coverage types
Dental, Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with Humana - Healthy Horizons (Ohio Medicaid) using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Humana - Healthy Horizons (Ohio Medicaid).
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Humana - Healthy Horizons (Ohio Medicaid) to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Humana - Healthy Horizons (Ohio Medicaid) in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Humana - Healthy Horizons (Ohio Medicaid) and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Humana - Healthy Horizons (Ohio Medicaid) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Humana - Healthy Horizons (Ohio Medicaid) to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Humana - Healthy Horizons (Ohio Medicaid) and receive 277 claim acknowledgments asynchronously.
Supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Humana - Healthy Horizons (Ohio Medicaid).
Get started
Use Stedi's APIs to get fast and reliable connectivity to Humana - Healthy Horizons (Ohio Medicaid) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Humana - Healthy Horizons (Ohio Medicaid) today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Medicaid Ohio - Humana DentaQuest
  • Medicaid Ohio - Humana EyeMed
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