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(Required)

Call Number(Required)

Name(Required)

First Name Last Name

Date of Birth(Required)

Phone(Required)

Email(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Guarantor Name (If Applicable)

First Name Last Name

Insured Name(Required)

First Name Last Name

Name of Primary Insurance(Required)

Policy Number / Member ID Number(Required)

Name of Secondary Insurance

Secondary Insurance Policy Number / Member ID Number

100+

Happy Customers

40,000+

Claims Processed in 2023

16 million

Revenue Generated in 2023

20+

Team Members

Why Ohio Billing?

We Don’t Just Collect Payments

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

30+

Years of Great Experience

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.

Testimonials

What Our Clients Are Saying

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

Anna G.

Ashland County, Ohio

"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.

Stark County, Ohio

"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.

Ashtabula County, Ohio

"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.

Stark County, Ohio

Ready to Transform Your Billing?

Schedule your Custom Revenue Recovery Session and see how Ohio Billing, Inc. can help your department recover more revenue and ensure compliance.

At Ohio Billing, Inc., we believe in more than just billing. Founded in 1993, we’ve built a company dedicated to helping EMS & Fire Departments across Ohio and beyond recover more revenue, streamline operations, and stay fully compliant with ever-changing regulations

Contact

Monday – Friday 7:00 AM – 3:30 PM
Closed daily from 11:30AM – 12:00PM

10911 State Route 212, PO Box 515, Bolivar, OH 44612

operator@ohiobilling.com

330-874-1140

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