To find your Guarantor ID, please refer to your billing statement or login to MyChart account and navigate to the billing summary tab. Your Guarantor ID will show as Guarantor #XXX, please only include the numerical values
The hospital name is required.
The patient first name is required.
The patient first name may not contain the semicolon (';') character.
The patient first name may not contain a credit card number.
The patient last name is required.
The patient last name may not contain the semicolon (';') character.
The patient last name may not contain a credit card number.
The guarantor account id is required.
The guarantor account id may not contain the semicolon (';') character.
The guarantor account id must be a number.
The guarantor account id may not contain a credit card number.
The payment amount is required.
The payment amount is not valid.
The payment amount may not contain the semicolon (';') character.
The payment amount may not contain a credit card number.
Technical SupportIf you need support for this online payment processing application, please send an email to
MHABilling@mha.ohio.gov. You may also call our Toll-Free Bridge at 877-275-6364.