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Electronic Claims

'Ohana Health Plan encourages providers to submit claims electronically via electronic data interchange (EDI) or direct date entry (DDE). Both are less costly than billing with paper and enable quicker claims processing.

'Ohana Health Plan preferred EDI gateway is Availity. If you need assistance in making a connection with Availity or have any questions, please contact Availity client services at 1-800-282-4548.
Providers should submit Fee For Service claims to 'Ohana Health Plan Payer ID 14163. Providers can also use their own vendor/clearinghouse to submit electronically.

Availity Essentials offers providers a web browser for direct data entry (DDE) at no cost to you.  To register, submit the request to

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Y0020_WCM_100876E Last Updated On: 2/21/2023