Post Service Provider Disputes-Appeals

To check the status of previously submitted claim(s), providers should contact the Buckeye Provider Services Department at 866-296-8731, Monday through Friday 7:00 a.m. – 8:00 p.m. Providers can also check claims status on our portal by accessing the Provider Home Page

Providers should have:

  • servicing provider’s name
  • member name
  • member ID number
  • date of birth
  • date of service
  • claim number

Buckeye offers providers the option to request payment evaluation/and or determination of a previously submitted claim(s) by means of a claims dispute.

Provider claim disputes/appeals are any provider inquiries, complaints, or requests for reconsiderations ranging from general questions about a claim to a provider disagreeing with a claim payment or denial. While these disputes can come in through any avenue (e.g., provider call center, provider advocates, BHP’s provider portal), they do not include inquiries that come through ODM's Provider Web Portal (HealthTrack).

To submit a claim dispute, there must have already been a first-time claim submitted that has been paid or denied accordingly. If a claim has not been submitted, the claim does not qualify for a claim dispute.

Effective February 1, 2023, the provider dispute process for Ohio Medicaid and Behavioral Health has changed. It impacts timely guidelines, submission methods, and provider notifications.

Below are the different processes based on your claim's Date of Service.