Using NPI correctly

Ohio Medicaid is denying electronic claims when:

• The pay-to NPI and the pay-to legacy numbers on the claim do not match the numbers we have in our file.
• The pay-to NPI does not appear on the electronic claim.
• The rendering NPI, if required, does not appear on the electronic claim.
• The rendering NPI and the rendering legacy numbers on the claim do not match the numbers we have in our file.

Providers can call the IVR, 1-800-686-1516, to verify the correct NPI to legacy match.