Ohio Medicaid: ODJFS
Please follow the Enrollment Instructions below to become an electronic submitter for Ohio Medicaid.
Required Documents for those applying for new Submitter IDs
The following documents are required enrollment documents that must be completed, signed and returned to the ODJFS office prior to initiation of electronic claims submission or inquiry.
1. Medicaid Trading Partner Form (This is an ONLINE form)
2. Trading Partner Agreement (Please fill out 2 of these in Blue ink)
3. ODJFS Designation of an 835
If the above links to not work properly, please go directly to the OH Medicaid website here:
If you have any questions regarding any of the documents in this package, please phone the ODJFS EDI Technology Support Center at 1-800-686-1516 or 844-324-7089.
We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.
Our Vendor Information
|Vendor Name - AXIOM Systems, Inc.|
|Contact - EDI Team|
|Vendor Code - N/A|
|Phone - 602-439-2525|
|Fax - 602-439-0808|
|Address - 241 East 4th Street, Suite 200|
Frederick, MD 21701
|Software Name - SolAce EMC|
|E-mail - Support@SolAce-emc.com|
Trading Partner Profile Form
To be completed by providers who will be submitting directly to ODJFS or Billing Services submitting to ODJFS for providers.
Trading Partner Company Information
Please enter your Provider/Business name and Tax ID
New applicants may leave the Trading Partner Number field blank
Trading Partner Technical Contact Information
Please enter the information for the Contact Person(s) for your office
EDI Testing and Connectivity Information & Business Agreements
Please read these 2 sections
Certification and/or Validation Testing
Please skip this section
Please read this section
Transaction Sets Submitted to the Ohio Department of Job and Family Services
Please select the following:
- 837 Healthcare Institutional for UB04 claims and/or
- 837 Healthcare Professional for CMS 1500 claims
Transaction Sets to be Sent by the Ohio Department of Job and Family Services
Please select the following:
- 835 Health Care Claim/Payment Advice
- TA1 Transaction Acknowledgement
- 997/999 Functional Acknowledgement
Click Submit to send your form
ODJFS Trading Partner Agreement
To be completed by providers submitting directly to ODJFS or Billing Services submitting to ODJFS for providers. Remember that you are the Trading Partner.
- Please enter your Provider/Business information on the first page and complete the last page of this form
- NOTE: You need to print out 2 copies of this form and fill them both out in BLUE ink.
ODJFS Designation of an 835
This form must be completed and submitted after your test transmission has been approved. To be completed by an ODJFS provider
- Enter your Provider Name and Demographic information
- Enter your NPI, Provider ID and Trading Partner ID
- Enter your Contact information
- Enter either your TIN or NPI
- Leave this section blank as you will be not be using a Clearinghouse
- Check the box for New Enrollment and enter today's date
Submitting your Forms
It is recommended that you keep a copy of all the forms you will be submitting for your records. Mail the enrollment forms reflecting original signatures to:
Trading Partner Agreement:
Ohio Department of Job and Family Services
Office of Contract and Acquisitions
Trading Partner Agreements
30 East Broad Street, 31st Floor
Columbus, OH 43215
Designation of an 835:
Ohio Department of Job and Family Services
4200 E. Fifth Ave. – 1st Floor, Section E01
Columbus, Ohio 43219-1851
It is very important that you complete and return the entire enrollment packet as described above. Incomplete packets will not be processed and will be returned to the submitter.
Waiting for a Response
Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately two weeks from the date of receipt. (Remember that mailing time can take as much as five days.)
After processing, a confirmation will be faxed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the ODJFS EDI Technology Support Center at 1-800-686-1516 or 844-324-7089.
Once you have received your Submitter ID and password from ODJFS, please call the SolAce Support Team and set an appointment for a Mailbox setup and Test Transmission.
Please have 3 batches containing 250 test claims ready for testing. You may use previously billed claims. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.
From our customers
I am very pleased with our SolAce billing software and how easy it is to navigate. They have a great team who can train you to do billing even if you don’t have billing experience. Special thanks to Cathy, Gigi, and Skyler who always helps me out every time I have issues.
SolAce is awesome software. I absolutely LOVE it. For over three years I have used this software daily for multiple long term care facilities to submit claims to various MACs, Medicaid, and Medicare Advantage and Supplemental Insurance carriers. It is convenient, simple to use and far less costly than any Clearing House software I had explored. The ability to import from my Practice Management Software and Therapy Providers has reduced any RTP claims edits and denials are a thing of the past. Customer Support is “Johnny on the spot”, but terrific as they may be, it gets better - RARELY do I need to call. LOVE IT, LOVE IT, AND LOVE IT.
I think our medical office was one of the first to use SolAce in the mid 1990’s and we are still using it today for all of our electronic billing because it works ! It was simple for our staff to learn and it integrated easily with our accounting/billing program. It has been especially nice to know that the Axiom staff is there when Medicare changes something and they are right on it. They made the 5010 change a simple process plus made educational seminars available to us. Thank you to all the Axiom/ Ivertex professionals who have helped us for the last 15+ years.
SolAce has been a valuable tool that has been a life saver for my billing service for years. It has allowed me to bill professional and institutional claims with ease. Customer service @ SolAce is top rated in my opinion. The SolAce product is very user friendly and affordable. Thank you SolAce team for a great product.
Easy to use, Customer support has always been excellent, Thanks SolAce Team.
I am a new client and was having a tough time getting everything set up just right. I had to make calls to CEDI and when I called back the rep I spoke with prior even helped the 2nd rep to make sure I got all the info I needed. They definitely work as a team. Within a short period of time they had my system up and running. I never could've done it without them.
Awesome customer service every time!
I can't tell you how wonderful it is to work with your agency. They are courteous, knowledgeable,friendly, and a joy to work with - I can't say enough. Thank you!!
The service was very good. Phone answered promptly even though it was around 6 p.m. my time. Very courteous and helpful. So far I have had really good experiences with your support team.
The follow-up is outstanding - whenever there is an issue I am contacted to be sure that all is working well and to my satisfaction.
Everyone in your company is very helpful and pleasant, and they always have the quickest response time on fixing the situation.
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