DYSERV, INC.

Online Billing Form - step 1 of 4

Hello and welcome to our online billing form!


This page is for Ohio Medicaid. If the patient you are billing for has been switched to the MyCare Ohio program, if your patient has signed up with CareSource click here, or if your patient has signed up with United Health, Aetna, Molina, and others click here.

Notice to Agencies:
10/22/14 On healthchek claims (U5), only the first 14 hours in the week are being paid (any additional are being rejected). Per our phone conversation, ODJFS is aware of this problem, and does not currently have a timeframe on a fix.
10/23 Per a phone converstion today, ODJFS expects to have the issue resolved by next week, and this problem is also affecting U7 claims.


The Claim you are submitting now is expected to pay on Thursday, November 6, 2014.
Patient/Consumer first name:
Provider # (7-digit No punctuation):
Confirmation Email Address (optional):
The following page may take a moment to load, thank you for your patience.