Provider Assistance

Have questions? Contact our provider call center: 1-800-686-1516 through the Interactive Voice Response System (IVR). It provides 24-hour, 7-day a week access to information regarding client eligibility, claim status, payment status, prior authorization, drug and procedure code, and provider information. Representatives may also conduct problem claims review and assist you with billing concerns.

To comply with HIPAA privacy requirements, all providers and billing entities accessing the IVR for protected information are required to use a Personal Identification Number (PIN). For detailed instructions about how to use the IVR, please view the following documents:

• Provider PIN detailed administration instructions
• Hospice key-ahead guide
• Billing entity detailed PIN instructions

Need technical assistance?  Contact the technical assistance area: 614-752-9551. The Ombudsman/Technical Assistance area conducts on-site Medicaid provider training; provides seminars in conjunction with provider associations; and resolves specific Medicaid claim issues and a range of other Medicaid issues.

• Provider assistance FAQs
• List of Authorized Trading Partners
• Claim Submission Addresses