Dyserv, Inc.




1144 Goodale Blvd
Columbus, OH 43212

Phone: (614)294-6078
Fax: (614)294-6315


Medicaid Independent / Non-Agency Billing Form.

Medicaid Agency Billing Form.

Medicaid Ambulette Billing Form.

Medicaid Adult Daycare Billing Form.

Medicaid Homecare Attendant Billing Form.

Medicaid Home Delivered Meals Billing Form.


Caresource Billing Form.

Molina, Buckeye, Paramount, UHC, & VA Billing Form.



Make a payment online.

Prices and Submission Summary.
Important Phone Numbers.
Driving Directions.
FAQ