Ohana
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Claims Submission
ʽOhana Health Plan, Inc.
Claims Department
P.O. Box 31372
Tampa, FL 33631-3372
Claim Rejections
Send an email with the WCN#, Tax ID, date of service, and NPI to:
edi-master@wellcare.com
Current Payouts
90791 $104.43
90837 $110.09
Notes
- Ohana can connect you to receive electronic deposits through Payspan for no fee. Ohana does not provide free electronic claims submissions. You must submit claims via the CMS-1500 form.
- Ohana does not return incorrect/rejected CMS-1500 forms, just a letter stating the problem with the claim.
Authorization for out-of-network clients
File:Ohana_Out_of_Network_Authorization_Form.pdf
- You must write the "number of units requested" (the number of sessions requested) in the blank space on the bottom, because for whatever reason Ohana didn't put a space for it on the form.
Intelliride Authorization Form
- This form does not include a standing order. Client will need to call in advance to schedule rides.