| OhioBWC - Basics: Life cycle of a claim | ||||
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Life cycle of a claim
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“The Four Phases of the Life Cycle of a Claim are Continuous and Reflect the Path of a Claim at BWC.” Every claim goes through a process cycle, from the date it is reported to the date the claim is closed. This is called the life cycle of a claim. What to expect during the life cycle of your claim The life cycle chart will give you a better understanding of what happens during each phase of the claim’s life cycle. If you do not understand a specific phase or a term that is used, or you have additional information, please contact your claims service specialist (CSS) via the Internet or telephone. In the following life cycle chart, your managed care organization's (MCO's) role will be identified by the bold italic print. Your MCO will serve as the primary resource for medical management of the claim. The MCO will provide your CSS with the medical evidence and documentation that will be used if there are questions about coverage throughout the life of the claim.
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