Coverage profile
Work Next Generation MyCare Ohio - Buckeye 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 Next Generation MyCare Ohio - Buckeye.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Next Generation MyCare Ohio - Buckeye.
Other aliases
Also known as
- 0021583
- 16729
- 21583
- SKOH16
- SKOH17
- Next Generation MyCare Buckeye Community Health Plan
- BUCKEYE NEXT GENERATION MYCARE OHIO
2027 maternity billing research
When does Next Generation MyCare Ohio - Buckeye change OB/GYN billing?
CC.PP.016 describes global maternity bundling and prepayment code review. It applies to adopting health plans on their own effective dates and contains no 2027 code-deletion implementation instructions.
- Transition start
- No 2027 transition date stated in cited policy
- Billing start
- No 2027 billing date stated in cited policy
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Corporate template for medical maternity services; adoption and effective date for Next Generation MyCare Ohio - Buckeye are unverified. No dental billing application is established.
CC.PP.016 Reporting the Global Maternity Package. Verify the payer source before claim submission.
Frequently asked questions
Next Generation MyCare Ohio - Buckeye payer FAQs
How do I check claim status with Next Generation MyCare Ohio - Buckeye?
Providers check Next Generation MyCare Ohio - Buckeye via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for Next Generation MyCare Ohio - Buckeye?
The primary payer ID for Next Generation MyCare Ohio - Buckeye is 0021583. 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 Next Generation MyCare Ohio - Buckeye?
The 837P and 837I payer ID for Next Generation MyCare Ohio - Buckeye is 0021583 via Stedi.
What is the 835 payer ID for Next Generation MyCare Ohio - Buckeye?
The 835 payer ID for Next Generation MyCare Ohio - Buckeye is 0021583 via Stedi.
What is the 270 payer ID for Next Generation MyCare Ohio - Buckeye?
The 270 payer ID for Next Generation MyCare Ohio - Buckeye is 0021583 via Stedi.
What is the 276 payer ID for Next Generation MyCare Ohio - Buckeye?
The 276 payer ID for Next Generation MyCare Ohio - Buckeye is 0021583 via Stedi.
What state does Next Generation MyCare Ohio - Buckeye operate in?
Next Generation MyCare Ohio - Buckeye operates in OH.
Routing reference
Next Generation MyCare Ohio - Buckeye 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 | Next Generation MyCare Ohio - BuckeyeSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | OHSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 0021583Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 0021583Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 0021583Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 0021583Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 0021583Source: 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: Next Generation MyCare Ohio - Buckeye. 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: Next Generation MyCare Ohio - Buckeye. 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.