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    Keep your information current

    Keeping your details up-to-date in our directories helps members find the right information about you and your practice or organization. This also helps ensure that you receive timely payment, communications, reminders and more. 

    Having up-to-date contact information will help you:

    Having up-to-date contact information will help you:

    Connect with members

    Help our members find you and connect with you for the care they need.

     

    Get paid faster

    Avoid claims payment delays when we have all your correct information on file.

     

    Stay accurate

    Ensure current and future members have the right information about your practice or organization. 

    Updating information in the ODM portal

    Updating information in the ODM portal

    When OhioRISE is implemented on July 1, providers will use the current MITS portal to maintain their data for OhioRISE. Only the changes, adds and deletions made through MITS will be accepted by OhioRISE during this initial period.

     

    During the last months of 2022, ODM will launch the new Provider Network Management (PNM) module, replacing MITS. The PNM module will serve as the source of truth for provider data for the Ohio Department of Medicaid (ODM), OhioRISE and the managed care organizations (MCOs). Data in the PNM will be used in both our provider directory and the ODM provider directory. Once the PNM is deployed, you will use it to keep your information up-to-date.

     

    Here’s how the PNM update process will work: 

     

    • Log in to the PNM system and choose the provider you’re editing.

    • Click the relevant button to begin updates. Self-service functions include location changes, specialty changes and key demographic (name, NPI, etc.) changes. This information will be sent to us for our directory.

    Need help updating your data?

     

    Have questions about making changes to your information? Call the ODM Provider Hotline at 1-800-686-1516 to:

     

    • Speak to a provider representative via the interactive voice response (IVR) system. They’re here to help Monday through Friday from 8:00 a.m. to 4:30 p.m.

    • Leave a voicemail message 24 hours a day, 7 days a week through the IVR system. 

    • Give the representative two of the following three items to verify your identity:


      1. Provider number

      2. NPI

      3. Tax ID #

    Questions?

     

    You can call Aetna Provider Relations at 1-833-711-0773 (TTY: 711). We’re here for you 7 a.m. to 8 p.m. ET, Monday through Friday.

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