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Types of claims that are covered by the prompt pay law

Provider Links
Prompt Payment Law
Time Frames for Claims
Claim Processing
Complaint Form
Claims Covered by Law
Agency Contacts
Mental Health Parity Toolkit
Starting an appeal
HB 125/ CAQH Credentialing Application
Prompt Pay Frequently Asked Questions
Have Prompt Pay Complaint Questions? Email us here

Ohio's prompt pay law is found in sections 3901.38-3901.3814 of the Revised Code and it applies to claims submitted to a health insurer, or health Insuring Corporation (third-party payer) from a provider or insured (beneficiary). Claims must be submitted on the standard claim form prescribed in rule 3901-1-59.

The Ohio prompt pay law does not apply to claims submitted pursuant to Medicaid, Medicare or Self-funded ERISA plans. For Medicaid claims, please contact the Ohio Department of Jobs and Family Services. For Medicare claims, please contact the Centers for Medicare and Medicaid Services. For Self-funded ERISA claims, please contact the United States Department of Labor. For individual contact information check these agencies.

The State of Ohio is an Equal Opportunity Employer

Ohio Department of Insurance
50 W. Town Street, Third Floor - Suite 300
Columbus, Ohio  43215
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John Kasich, Governor | Mary Taylor, Lt. Governor / Director
General Info: 614-644-2658 | Consumer Hotline: 800-686-1526
Fraud Hotline: 800-686-1527 | OSHIIP Hotline: 800-686-1578