Coverage profile
How Substrate can help you with Buckeye Health Plan
Substrate can help practices and billers with the following claims tasks for Buckeye Health Plan.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Buckeye Health Plan.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Buckeye Health Plan.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Buckeye Health Plan.
Frequently asked questions
Buckeye Health Plan payer FAQs
How do I check claim status with Buckeye Health Plan?
Providers check Buckeye Health Plan via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Buckeye Health Plan portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Buckeye Health Plan?
The primary payer ID for Buckeye Health Plan is 0004202. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Buckeye Health Plan?
The provider portal for Buckeye Health Plan is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Buckeye Health Plan?
The 837P and 837I payer ID for Buckeye Health Plan is 0004202 via Stedi.
What is the 835 payer ID for Buckeye Health Plan?
The 835 payer ID for Buckeye Health Plan is 0004202 via Stedi.
What is the 270 payer ID for Buckeye Health Plan?
The 270 payer IDs for Buckeye Health Plan are 0004202 via Stedi and 0004202 via Availity.
What is the 276 payer ID for Buckeye Health Plan?
The 276 payer IDs for Buckeye Health Plan are 0004202 via Stedi and 0004202 via Availity.
What state does Buckeye Health Plan operate in?
Buckeye Health Plan operates in OH.
Routing reference
Buckeye Health Plan 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 | Buckeye Health PlanSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | OHSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 0004202Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 0004202Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 0004202Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 0004202Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 0004202Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 0004202Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 0004202Source: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Buckeye Health Plan. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: CENTENE OHIO MEDICAID MCE. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Buckeye Health Plan. 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.
Other aliases
Also known as
- 0004202
- 42020
- 7068
- 9457
- SKOH3
- Buckeye Health Plan Medicaid Behavioral Health
- Buckeye Health Plan Medicaid Medical
- Buckeye Health Plan Medicaid Vision
- Buckeye Ohio Medicaid
- Centene Ohio Medicaid Managed Care Entity
- CENTENE OHIO MEDICAID MCE
- BUCKEYE NEXT GENERATION MYCARE OHIO
- 0021583