Billing Instructions
John
R. Kasich, Governor
Michael
B. Colbert, Director
Ohio Department of Job and Family
Services
The Electronic Publishing Unit makes every attempt to
publish accurate and current information; however, we
disclaim any liability or responsibility for any
typographical errors, out of date information and/or other
inaccuracies that may appear in this document.
To receive eMail notifications of policy updates, go to the
ODJFS Email Subscriptions site ( http://www.odjfs.state.oh.us/subscribe/ )
and subscribe to the type of communications in which you
are interested. eMail notifications sent as updates are
posted to the eManuals site.
Tools for
Claims Submission
Please send comments to
ePubs_updates@jfs.ohio.gov
PROFESSIONAL
CLAIMS:
· Click here to view
the Web Portal Billing Guide for Professional Claims
· Click
here to view the EDI Companion
Guide for Professional Claims in MITS [Link]
· Click here to view
the ODJFS Instructions for Completing the CMS-1500 Paper
Claim Form (no longer accepted
on and after 01/01/2013)
INSTITUTIONAL
OR FACILITY-BASED
CLAIMS:
· Click here to view
the Web Portal Billing Guide for Institutional Claims
· Click
here to view the EDI Companion
Guide for Institutional Claims in MITS [Link]
· Click here to
view the
ODJFS Instructions for Completing the UB-04 Paper Claim
Form for Hospitals (no longer
accepted on and after 01/01/2013)
· Click here to view
the ODJFS Instructions for Completing the UB-04 Paper Claim
Form for Freestanding Dialysis Clinics (no longer accepted on and after
01/01/2013)
DENTAL
CLAIMS:
· Click here to view
the Web Portal Billing Guide for Dental Claims
· Click
here to view the EDI Companion
Guide for Dental Claims in MITS [Link]
· Click here to view
the ODJFS Instructions for Completing the ADA 2006 Paper
Claim Form (no longer
accepted on and after 01/01/2013)
OTHER
EDI
INFORMATION:
· Click
here to view EDI Guides and
Transaction Explanations [Link]
LETTERS
TO PROVIDERS:
·
Click here to view MALs, MHTLs, HHTLs,
MCTLs, etc.
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