State Agencies | Online Services
Please Note: You are viewing the non-styled version of
Ohio Department of Insurance. Either your browser does not support Cascading
Style Sheets (CSS) or it is disabled. We suggest upgrading your browser to
the latest version of your favorite Internet browser.
A healthcare provider may submit a prompt pay complaint to the Ohio Department of Insurance by completing the Prompt Pay Complaint Form. A provider should follow all contract grievance and appeal procedures before filing a complaint with the Department.
Instructions for Using the Online Provider Complaint Systems
The Department has developed two online provider complaint processes; one for Prompt Pay and the other for Credentialing and Contract Complaints. To access detailed instructions on the process for submitting and/or responding to provider complaints on these systems please select:
Credentialing & Contract Complaint
There is also an option for providers to file complaints pertaining to credentialing & contractual matters. This is a process established due to recent enactment of legislation to address these issues (HB 125). Please select Credentialing & Contract Complaint Form.
Responding to a Complaint
The Department will forward provider complaints to the third-party payers for a response. The third-party payer will be directed to resolve the complaint directly with the provider. The third-party payer will notify the Department of the resolution of the complaint. Complaint Resolution Instructions (for Third-Party Payers).
Click here for the third-party payer's Prompt Pay Response Form.
Click here for the third-party payer's Credentialing and Contract Complaint Response Form.
Privacy Statement | Disclaimer
| Rules / Ohio Administrative
Code | Ohio Revised
Code | Fee Schedule |
ODI Forms |
The State of Ohio is an Equal Opportunity Employer