Electronic Transactions

Buckeye Health Plan is committed to providing our participating providers with the best tools possible to support their administrative needs.  Our electronic transactions capabilities will speed up the processing and payment of your claims.

PaySpan

Buckeye Health Plan and PaySpan are in partnership to provide an innovative web based solution for Electronic Funds Transfers (EFT’s) and Electronic Remittance Advices (ERA’s).

Secure Web Portal

Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.

EDI
Electronic Transactions (EDI) support for HIPAA transactions is provided for the health plan by Centene Corporation. Centene is currently receiving professional, institutional, and encounter transactions electronically, as well as generating an electronic remittance advice/explanation of payment (ERA/EOP). To conduct other HIPAA transactions not listed, please contact our EDI department at 1-800-225-2573, ext. 25525 or EDIBA@centene.com.

The following list contains contact information for the trading partners currently active with our health plan. All providers are encouraged to contact one of these trading partners to utilize our electronic transaction options.

EDI Companion Guides

The list below contains contact information for the trading partners currently active with our health plan. All providers are encouraged to contact one of these trading partners to utilize our electronic transaction options.

Trading Partner Payer ID Telephone
Allscripts/Payerpath 68069; Cenpatico - 68068  
Availity 68069; Cenpatico - 68068  
Caprio/Med Avant/Proxy Med 32004: Cenpatico - 68068  
Claimsource 68069; Cenpatico - 68068  
Claim Remedi 68069; Cenpatico - 68068  
CPSI 68069; Cenpatico - 68068  
DeKalb 68069; Cenpatico - 68068  
Emdeon 68069; Cenpatico - 68068  
Envoy 68069 1-800-845-6592
First Health Care 68069; Cenpatico - 68068  
GHNonline 68069; Cenpatico - 68068  
IGI 68069; Cenpatico - 68068  
McKesson/HBOC 4717 1-800-735-8254
Medassets/exactimed 68069; Cenpatico - 68068  
MedAvant/ProxyMed 32004 1-800-586-6938
MDonline 68069; Cenpatico - 68068  
Medicaid 0004202 Buckeye Medical and Behavioral Health Claims
V004202 BUCKEYE/ENVOLVE
VISION
D004202 BUCKEYE/ENVOLVE
DENTAL
 
Physicians CC 68069; Cenpatico - 68068  
Practice Insight 68069; Cenpatico - 68068  
Relay/McKesson 4717; Cenpatico - 68068  
Smarta Data 68069; Cenpatico - 68068  
SSI 68069; Cenpatico - 68068  
Trizetto Provider Solutions 32004; Cenpatico - 68068 1-800-845-3666
Viatrack 68069; Cenpatico - 68068  
WebMD 68069