Dear Provider Partners,

The Ohio Department of Medicaid (ODM) has released clarification of ODMs determination that additional validation of Provider Master File (PMF) data with the plans is needed to facilitate better claims processing. To ensure the prompt payment of future claims submitted for services rendered, the managed care entities (MCE) will continue to integrate and use PNM system generated data (PMF and all supplemental files generated by ODM systems).


You can read the documents here:

If you need assistance, please feel free to reach out to AmeriHealth Caritas Ohio's Provider Services at 1-833-644-6001, and as always, you can reach out to your local account executive.
Thank you again for allowing us to serve you. 
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