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OhioBWC - Basics: (Policy library) - File

Medicare Requests for Reimbursement and Release of Information

The purpose of this policy is to address inquiries from Medicare and its agents requesting reimbursement or release of information from BWC for injured workers with allowed Ohio Workers' Compensation claims.


Requests for Reimbursement

These Requests for reimbursement may come directly from CMS, a private collection agency on behalf of Medicare, or forwarded from an MCO. The Claims Service Specialist (CSS) are to image these Medicare requests into the claim file and fax to Shannon Watts, Customer Service Administration at 614-621-3379. Customer Service Administration and Medical Billing and Adjustments (MB&A) will research and respond to these requests.