Claims Information
Medical claims are administered by
HealthSmart
View Your Claims
Log in to MyHealth from HealthSmart to view the status of your claims
Medical Claim Form ![PDF-Download-Icon.png PDF Download](/getmedia/02a97b13-890a-4259-a90c-f949ee912919/PDF-Download-Icon.png.aspx?width=25&height=24)
Download this form to file medical claims
How to Read Your Explanation of Benefits ![PDF-Download-Icon.png PDF Download](/getmedia/02a97b13-890a-4259-a90c-f949ee912919/PDF-Download-Icon.png.aspx?width=25&height=24)
If you have received an Explanation of Benefits (EOB), this will help you understand how to read it.
Response Form - Other Insurance
Use this online form if you received an Explanation of Benefits requesting additional information about other insurance finalize your claim.
Response Form - Accident Details
If you have been in an accident, you may be asked to complete this online form.
For questions about your claims processing, email: OSUSHIPclaims@HealthSmart.com
or call 844.206.0374.
![acrobat-get_adobe_reader.png Click here to download Adobe Reader](/getmedia/112beaf7-f4bd-4187-a015-3b921e613316/acrobat-get_adobe_reader.png.aspx?width=150&height=56)
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Your Provider Networks
On-Campus and In Franklin County
Wilce Student Health Center, Student Life Student Health Services (SLSHS)
OSU Providers - OSU Health Plan Network
Counseling and Consultation Service
Ohio State Dental Clinics
Ohio State Optometry Services
Outside of Franklin County
UHC Options PPO Network
United Behavioral Health
Prescription & Pharmacy Information
Pharmacy benefits are administered by
HealthSmartRx Solutions
2023 Formulary Preferred Drug List ![PDF-Download-Icon.png PDF Download](/getmedia/02a97b13-890a-4259-a90c-f949ee912919/PDF-Download-Icon.png.aspx?width=25&height=24)
Approved medications for most treatments
2023 Formulary Exclusions List ![PDF-Download-Icon.png PDF Download](/getmedia/02a97b13-890a-4259-a90c-f949ee912919/PDF-Download-Icon.png.aspx?width=25&height=24)
Approved medications for most treatments
Approved Specialty Drug List ![PDF-Download-Icon.png PDF Download](/getmedia/02a97b13-890a-4259-a90c-f949ee912919/PDF-Download-Icon.png.aspx?width=25&height=24)
High-cost medications used to treat complex chronic conditions
Pharmacy Network
The HSRx Network is powered by Express Scripts. Log in here to find a pharamacy near you.
Pharmacy Claim Form ![PDF-Download-Icon.png PDF Download](/getmedia/02a97b13-890a-4259-a90c-f949ee912919/PDF-Download-Icon.png.aspx?width=25&height=24)
Download this form to complete and submit pharmacy claims to HSRx.
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