MCO Contact Tables February 2016

MCO Contact Tables
February 2016

1-888-OHIOCOMP 10041
To Report an Injury
Phone To Submit Medical To Send Bills
888-644-6266
216-426-0646 Address Address
1-888-OHIOCOMP 1-888-OHIOCOMP
FAX 2900 Carnegie Ave 2900 Carnegie Ave
216-426-0651 Cleveland, OH 44115 Cleveland, OH 44115
888-644-7339
Medical Documentation Billing Fax :
Fax: 216-426-0651
888-644-7339 888-644-7339

Case Management Billing Department
Supervisor: Phone: 1-888-644-6266 Ext 1399
Lynn Popovich, RN, BSN, CCM Fax: 1-888-644-7339
Phone: 216-426-0646 Ext Email: [email protected]
1184

General Information: Phone: 888-644-6266
Email Address: [email protected]

3-HAB www.3hab.com 10013
To Report an Injury To Submit Medical To Send Bills
Phone Address Address
513-221-3422, or 3-HAB 3-HAB
800-869-1871 Attn. Care Coordinator Attn. Billing Coordinator
P.O. Box 429540 P.O. Box 429540
FAX Cincinnati, Ohio 45242-9540 Cincinnati, Ohio 45242-9540
513-221-2008, or
800-869-1872 Medical Documentation Billing Fax :
Fax: 513-221-2008, or
800-869-1872 800-869-1872

Case Management Billing Supervisor
Supervisor: Nicole C.
Nicole C. [email protected]
800.869.1871 800-869-1871
ext. 3207 ext 3207

General Information: 800-869-1871
Email Address: [email protected]

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AultComp MCO, Inc. To Submit Medical 10016
To Report an Injury Address To Send Bills
Phone Aultcomp Address
888-738-5800, or 2458 LincolnWay E Ste 360 Aultcomp
330-830-4919 Unit 11 2458 LincolnWay E Ste 360
PO BOX 4817 Unit 11
FAX Massillon, Ohio 44648-4817 PO BOX 4817
330-830-4900 Massillon, Ohio 44648-4817
877-738-0058 Medical Documentation ANSI, NSF & BWC electronic
Fax: formats to [email protected]
877-738-0058
General Billing Inquiries:
Case Management toll free 888-738-5800
Supervisor: 330-830-4919
Nancy Toussant RN, COHN-S
330-830-4919 Billing contacts:
Kristy Williams
[email protected]
(330)830-4919 ext 130

Nicole Lasick
[email protected]
(330)830-4919 ext 104

Debra Kemp
[email protected]
330-830-4919 ext 119

Billing Fax :
330-830-4900
877-738-0058

General Information: Phone: 330-830-4919

CareWorks www.careworks.com 10010
To Report an Injury To Submit Medical
888-627-7586 Option #1 Address To Send Bills
CareWorks Address
FAX P.O. Box 182726 CareWorks
888-711-9284 Columbus, OH 43218-2726 P.O. Box 182726
Columbus, OH 43218-2726
Medical Documentation Fax
1-888-627-0074 Phone
888-627-7586 Option #2
Utilization Management
Phone Billing Contact:
888-627-7586 Option #3
State Fund Administration Jayne Gribble
Coordinator [email protected]
Vicki Blevins 888-627-7586 ext 3533
614-760-3830
614-760-3614 (fax) Judy Barrie
[email protected]
General Information: Phone: 888-627-7586 888-627-7586 ext 3558
Email Address: [email protected]

2

Comp One To Submit Medical 10073
To Report an Injury To Send Bills
Phone Address Address
877-281-9821 ext. 113 725 Boardman-Canfield Road 725 Boardman-Canfield Road
or Unit A3 Unit A3
330-259-0083 ext. 113 Boardman, Ohio 44512 Boardman, Ohio 44512

FAX Medical Documentation Billing Fax :
877-283-0921 Fax 877-283-0921
or 877-283-0921 or
330-259-0095 330-259-0095
Case Management
Supervisor & Phone: Billing contact:
Dianne Lindsay, RN,CCM, Paulette S.
CHCQM [email protected]
877-281-9821 ext. 119 877-281-9821 ext. 114
330-259-0083 ext. 119 330-259-0083 x114

General Information Phone: 877-281-9821 or 330-259-0083
Email Address: [email protected]

CompManagement Health Systems, Inc. www.chsmco.com 10005

To Report an Injury To Submit Medical To Send Bills

Phone Address CompManagement Address CompManagement Health

888-247-7799 (24 hrs.) Health Systems, Inc. Systems, Inc.

P.O. Box 1040 P.O. Box 1040

Dublin, OH 43017 Dublin, OH 43017

FAX (General) Medical Documentation Customer Service
800-334-4229 Fax: 888-247-7799
800-334-4229
Bill Review Manager
FAX (All Appeal Information) Customer Service Shannon Metz
Phone: 888-247-7799 ext: 65854
866-746-2621 Phone: 888-247-7799 E-mail: [email protected]

Case Management Billing Fax :
Supervisor: 800-334-4229
June McPherson ANSI, NSF & BWC electronic formats to
Email:
[email protected] http://www.emdeon.com/physicians/
888-247-7799 ext 65610

General Information: Phone: 888-247-7799
Email Address: [email protected]

3

CorVel Ohio MCO, Inc. www.corvel.com 10008
To Report an Injury
To Submit Medical To Send Bills
Phone:
800-275-6463 Address: Address:
CorVel Corporation CorVel Corporation
FAX: P.O. Box 30306 PO Box 30306
877 -677-6756 Cleveland, Ohio 44130 Cleveland, OH 44130

Medical Documentation Fax General Phone Number:
: 800-275-6463
877-677-6756 Billing Fax:
Utilization Management 866-612-7957
Phone:
800-275-6463 Billing Manager
Case Management Manager Carla Geary, CPC, Bill Review
Martine Molett Manager
800-275-6463 ext. 79387 T 800-275-6463 F 877-677-6756|
[email protected] [email protected]

General Information: 800-275-6463
Email Address: [email protected]

GENEX Care for Ohio www.genexservices.com 10042
To Report an Injury To Submit Medical To Send Bills
Phone Address ( Pre-certification/Med Mgmt) Address
800-447-6250 GENEX Care for Ohio GENEX Care for Ohio
ext.7641 11590 Century Blvd., Suite 202 11590 Century Blvd., Suite 202
Cincinnati, OH. 45246 Cincinnati, OH. 45246
FAX
888-275-9719 Phone For Billing Customer Service
800-447-6250 ext. 7637 Phone
800-447-6250 ext. 7638
Medical Documentation Fax : Billing Fax :
888-275-9719 888-275-9719
Billing Contacts:
Case Management Supervisor: Don Dudash CPC
Leslie Jump RN, CCM [email protected]
[email protected] 800-447-6250 ext 7638
800-447-6250 ext. 7663 Val Miller
[email protected]
Manager: 800-447-6250 ext 7672
Angela Houston, RN, CCM
[email protected]
800-447-6250 ext. 7655

General Information: Phone 513-346-7880 ext. 7663 800-447-6250 ext. 7663
Email Address: [email protected] Email Address:
[email protected]

4

Health Management Solutions www.hmssolutions.com 10006

To Report an Injury To Submit Medical To Send Bills

Phone Address Address

614-799-0898, or Health Management Solutions Health Management Solutions

888-202-3515 2545 Farmers Drive, Suite 2545 Farmers Drive, Suite 400

(8:00 a.m.- 5:00 p.m.) 400 Columbus, OH 43235

After hours, select option 3 Columbus, OH 43235

Billing Fax :

Address Medical Documentation 614-799-0869 or

Health Management Solutions Fax 888-303-6294

2545 Farmers Drive, Suite 400 877-514-1227

Columbus, OH 43235

Case Management Billing Contact

Corporate Address Anne Grossman Csaszar, Sr. Anne Grossman Csaszar, Sr. VP

1901 Indian Wood Circle VP 888-202-3515 ext. 107

Maumee, OH 43537 888-202-3515 ext 107 [email protected]

[email protected]

FAX

614-799-0869 or

888-303-6294

General Information: Phone: 888-202-3515

Email Address: [email protected]

Spooner Medical Administrators, Inc. 10011
To Send Bills
To Report an Injury To Submit Medical Address
Medical Administrators, Inc.
Phone Address 28301 Ranney Parkway
Westlake, Ohio 44145
440-899-2400 Medical Administrators, Inc.
Billing Fax :
800-542-9479 28301 Ranney Parkway 440-899-2411
800-542-9480
Westlake, Ohio 44145
ANSI, NSF & BWC electronic
FAX Medical Documentation formats to [email protected]
440-899-2411 Fax
800-542-9480 800-542-9480 Billing contact:
Tonya K,
Case Management 440-899-2400 ext. 226 (phone),
Supervisor: 440-899-2411 (fax),
Lisa Lachendro [email protected]
440-899-2400 ext. #223

General Information: Phone: 800-542-9479
Email Address: [email protected]

5

Occupational Health Link Inc., www.oehpmco.com 10017
To Send Bills
To Report an Injury To Submit Medical
Address
Phone Address Ohio Employee Health
888-844-0039 Ohio Employee Health Partnership
Partnership 445 Hutchinson Ave, Columbus
445 Hutchinson Ave, Ohio 43235
Columbus Ohio 43235
FAX PHONE
888-240-6381 Medical Documentation 888-844-0039
Fax
888-240-6381 Billing Fax :
877-605-8311
Case Management
Julie Perkins, RN Billing Team Email:
1-888-844-0039 ext 1005 [email protected]
[email protected]

General Information: Phone: 888-844-0039
Email Address: [email protected]

Sheakley UniComp www.sheakley.com 10002
To Report an Injury To Submit Medical
To Send Bills
Phone Address
888-743-2559, or Sheakley UniComp Address
513-326-8003 One Sheakley Way Sheakley UniComp
Cincinnati, OH 45246 One Sheakley Way
FAX Cincinnati, OH 45246
888-626-2667 or Medical
513-326-8005 Documentation Fax ANSI, NSF & BWC electronic formats
888-626-2667 to [email protected]

Director of Medical Billing Contact:
Management : Kimberly Hairston
Angela Fennell, [email protected]
[email protected] (888)743-2559 ext 1395
(888)743-2559 ext Billing Fax :
1283 (888)-626-2667

General Information: Phone: 888-743-2559
Email Address: [email protected]

6

The Health Plan www.healthplanmwcp.com 10060
To Report an Injury To Send Bills
Phone To Submit Medical Address
888-847-7810, or The Health Plan Managed Workers’
740-695-7678 Address Compensation Program
The Health Plan Managed P.O. Box 97
Workers’ Compensation St. Clairsville, OH 43950
Program
P.O. Box 97 Billing Fax :
St. Clairsville, OH 43950 877-847-6927

FAX Medical Documentation Billing Contact:
877-847-6927 Fax Tammy Davis
877-847-6927 [email protected]
888-847-7810 ext 2226
Case Management

Supervisor:

Valerie Kemo, RN CCM

740-695-7677

888-847-7810 opt.2

Fax 740-699-6188

[email protected]

General Information: Phone: 888-847-7810

Email Address: [email protected]

University Hospitals CompCare www.universitycompcare.com 10052

To Report an Injury To Submit Medical To Send Bills

Phone Address Address

800-818-7273 University CompCare University CompCare

P.O. Box 12778 P.O. Box 12778

Cleveland, OH 44112 Cleveland, OH 44112

FAX Medical Documentation Billing
800-654-3849 Fax Fax :
800-654-3849 800-654-3849
ANSI, NSF & BWC electronic formats
Case Management to [email protected]
Contact Information:
Mary Gaffney, Manager Billing Contact:
216-488-4769 Tonya Woodfolk
mary.gaffney@uhhospitals. [email protected]
org 800 818-7273 x84790

General Information: Phone: 800-818-7273
Email Address: [email protected]

7

Workstar Health Services www.wshsmco.com 10074
To Report an Injury To Submit Medical To Send Bills

Phone Address Address
1-800-256-8833 or WorkStar Health Services, WorkStar Health Services, Inc.
513-779-5680 Inc. 7100 Sennet Place
7100 Sennet Place Suite C
FAX Suite C West Chester, OH 45069
1-877-474-1440 West Chester, OH 45069

Medical Documentation Billing Fax :
Fax 1-800-256-9540
877-474-1440 MCO Billing Contact
Director of Case Chelsea Mays
Management Phone: (513) 779-5680
Sheri Jones Alt. Phone: (800) 256-8833
Phone: 1-800-256-8833 or [email protected]
513-779-5680
[email protected]

General Information: Phone: 1-800-256-8833 or 513-779-5680
General Email : [email protected]

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