All BWC-certified providers should have a copy of BWC's Billing and Reimbursement Manual. The manual explains the billing procedures for medical providers, who are treating injured workers
under the Health Partnership Program.
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For your convenience, you can download and print a specific chapter or the entire manual from here. To download a specific chapter, click on the chapter title. If you want to download the
entire manual, click on each chapter title and download each chapter one at a time.
Table of Contents
Chapter 1 - Ohio Bureau of Workers' Compensation System
This chapter includes information about employer types; managed care organization roles/responsibilities; provider eligibility; reporting an injury; guidelines for treatment, coding and reimbursement;
and other BWC processes and procedures.
Presumptive approval guidelines
MCO standard prior authorization table
Medical documentation policy
Chapter 2 - Services
This chapter includes information about practitioners, hospitals, ambulatory surgical centers, outpatient medication, vocational rehabilitation, home health agencies, nursing homes and other
BWC-certified provider services.
Chapter 3 - Vocational Rehabilitation Services
This chapter includes information about vocational rehabilitation services.
Chapter 4 - Billing Instructions
This chapter includes information about billing rules and laws, instructions for completing BWC billing forms and a guide for explanation of benefits.
Outpatient Medication Invoice (C-17)
Service Invoice (C-19)
BWC will periodically issue policy alerts to provide further clarification
on specific policies. To download the latest policy alerts, click here.