Ohio providers: Make sure your Provider Network Management (PNM) affiliation steps are complete to avoid claims payment issues

April 2023

The Ohio Department of Medicaid (ODM) has identified several affiliation issues that impact billing claims. That’s why we wanted to remind you to complete all steps when affiliating a rendering provider to their group to avoid claims payment issues.

A provider affiliation can be initiated and completed by the group, or it can be initiated through the rendering provider.

Affiliation initiated by rendering individual

This means it’s not complete and remains in a “pending approval” status until the group accepts and saves the affiliation. At that point it will appear as “confirmed.”

Getting active status

To receive an “active” status, follow these steps:

• Click save at the top of the page, which saves all the updates
• Once saved, a new submit for review button will appear
• Click submit for review to submit the affiliations downstream

For more information

Visit the PNM Provider Education & Training Resources page for quick reference guides.