Ohio Health Insurance Information Form
Description
How to fill out Ohio Health Insurance Information Form?
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FAQ
OhioHealth MyChart offers the same access to preregistration and your medical records that you had with myOhioHealth. You also can communicate with your doctor, access your test results, request prescription refills and more. Questions? Please call (614) 533.6924.
OhioHealth is a health ministry of the West Ohio Conference of the United Methodist Church.
However, HIPAA and the Ohio Medicaid rules mandates the retention of records for a period of at least six (6) years after payment of the claim to the provider.
Download a patient access form or request one by fax. Fax your completed form to (614) 533-1155. Healthcare providers can order records through a faxed request. The request must contain the patient's demographics and necessary information, such as test results, notes and discharge summaries.
Please note, records maintained by the Department may only be released pursuant to the provisions contained in Ohio Revised Code Section 5122.31. Generally, patients, guardians and executors of deceased patients' estates are allowed access to records, however certain restrictions may apply.
Questions about your medical bill If you have questions about your bill, contact the OhioHealth Customer Call Center at (614) 566.5594 or (800) 837.2455.