Coverage profile
Work Aetna OhioRISE Medicaid Managed Care Entity across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Aetna OhioRISE Medicaid Managed Care Entity.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Aetna OhioRISE Medicaid Managed Care Entity.
Other aliases
Also known as
- 14387
- 45221
- 9435
- OHRISE
- AETNA OHIORISE MEDICAID MCE
Frequently asked questions
Aetna OhioRISE Medicaid Managed Care Entity payer FAQs
How do I check claim status with Aetna OhioRISE Medicaid Managed Care Entity?
Providers check Aetna OhioRISE Medicaid Managed Care Entity via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for Aetna OhioRISE Medicaid Managed Care Entity?
The primary payer ID for Aetna OhioRISE Medicaid Managed Care Entity is 45221. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Aetna OhioRISE Medicaid Managed Care Entity?
The 837P and 837I payer ID for Aetna OhioRISE Medicaid Managed Care Entity is 45221 via Stedi.
What is the 835 payer ID for Aetna OhioRISE Medicaid Managed Care Entity?
The 835 payer ID for Aetna OhioRISE Medicaid Managed Care Entity is 45221 via Stedi.
What is the 270 payer ID for Aetna OhioRISE Medicaid Managed Care Entity?
The 270 payer ID for Aetna OhioRISE Medicaid Managed Care Entity is 45221 via Stedi.
What is the 276 payer ID for Aetna OhioRISE Medicaid Managed Care Entity?
The 276 payer ID for Aetna OhioRISE Medicaid Managed Care Entity is 45221 via Stedi.
What state does Aetna OhioRISE Medicaid Managed Care Entity operate in?
Aetna OhioRISE Medicaid Managed Care Entity operates in OH.
Routing reference
Aetna OhioRISE Medicaid Managed Care Entity payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Aetna OhioRISE Medicaid Managed Care EntitySource: Substrate payer directory · data last changed |
|---|---|
| Operating states | OHSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 45221Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 45221Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 45221Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 45221Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 45221Source: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Aetna OhioRISE Medicaid Managed Care Entity. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Aetna OhioRISE Medicaid Managed Care Entity. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.