Monday - Friday 7:00 AM - 3:30 PM

Patient Insurance Information

Please fill out this form with the patient’s insurance details. This helps us ensure smooth billing and coverage verification for their care. Accurate information will make sure there are no delays in processing.

Department Name

Account Number

First Name *

Last Name

Date of birth

Phone *

Email Address *

Address

Street Address

City

State

Country

Postal Code

Guarantor Name (If applicable)

Insured Name

Name of Primary Insurance

Policy Number / Member ID Number

Name of Secondary Insurance

Secondary Insurance Policy Number / Member ID Number

100+

Happy Customers

44,000+

Claims Processed in 2024

21 million+

Revenue Generated in 2024

20+

Team Members

Why Ohio Billing?

We Don’t Just Collect Payments

We partner with you to recover more revenue, reduce administrative burden, & ensure full compliance. Our clients consistently see improved financial performance and greater peace of mind.

No Hidden Fees

Transparent pricing and no surprise costs.

Proven Results

Trusted by EMS & Fire departments across Ohio.

Local & Personalized Support

Family-owned and operated, we pride ourselves on building lasting relationships.

Compliance Experts

Full compliance with all Medicare, Medicaid, and HIPAA regulations.

Stay Compliant, Recover More Revenue

Download Our Free EMS Billing Compliance Checklist

Ensure your billing process meets all regulatory requirements and recover more of your hard-earned revenue. This free checklist will help you streamline compliance and avoid costly mistakes.

Testimonials

What Our Clients Are Saying

★ ★ ★ ★ ★

"Your quick responses to our questions and your ability to conduct after normal business hours to meet our needs are both greatly appreciated."

Aaron S.

★ ★ ★ ★ ★

"You always do such a great job! I especially appreciate your being willing to track down back up documentation for payments we receive."

Maryann S.

★ ★ ★ ★ ★

"Professional, kind, and friendly staff. Anytime I need anything you all are on it right away. I appreciate how quickly you all get answers and the help I need. Mostly, you all make me feel like family. Thank you."

Susan S.

★ ★ ★ ★ ★

"You have always been there to answer my questions and take care of things. Thank you for all you do!"

Anna G.