State Agencies | Online Services  
En Español
Twitter Youtube Facebook Blog

Online support available
Monday through Friday
7:30 a.m. - 5:30 p.m.
Click here to get help!
secondary navigation bar logon help print search glossary contact e-account
OhioBWC - Basics:  My claim is allowed, now what?

Medical-only vs. Lost-time claims

Medical-only claims: Medical-only claims are identified as minor injuries that may or may not include lost time from the workplace up to seven days. The managed care organizations (MCOs) are required to automatically send all hard copy medical evidence gathered from the physician of record/treating provider to BWC upon receipt, prior to initial claim determination for a select group of ICD codes.

These International Classification of Diseases (ICD-9) codes comprise BWC's top 30 ICD-9s as identified in the Diagnosis Determination Guidelines. This information will aid the medical-only claims service specialist (CSS) in making accurate, timely initial claim determinations as well as in investigating the claim for potential subrogation.

The following minor injuries (always medical-only claims) do not necessarily require medical evidence for the CSS to determine if the claim is compensable:

  • First degree burns, less than 10 percent of the body;
  • Superficial lacerations/contusions;
  • Insect stings;
  • Minor animal/human bites;
  • Superficial foreign body in eye;
  • Corneal abrasion;
  • Conjunctivitis;
  • Dermatitis;
  • Blisters;
  • Superficial injury/abrasion.

Lost-time claims: If you are off work for eight days or longer due to your allowed injury or occupational disease, your claim will be considered a lost-time claim. If you miss fourteen days or more due to your allowed injury or illness, you will be compensated for the entire period of time you are disabled as a result of your injury/occupational disease.

Compensation for lost wages can be paid after medical evidence is submitted which supports your disability and BWC issues an order approving payment.