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OhioBWC - Provider - Service:  Provider Services

Provider Services

Managed care info
Diagnosis determination
BWC is working with the medical community.

Guidelines for diagnosis determination.
MCO directory
ICD-9 groups
Listing of all BWC-certified MCOs.

Partial listing of ICD-9 codes.
Prior authorization requirements
Invalid ICD-9 codes
Standardized prior authorization and presumptive approval guidelines. BWC justifications for the identification of an invalid ICD-9 code.

Provider tasks and timelines
Electronic billing
Task and timeline chart.

Provider EDI implementation guide downloads

Billing and reimbursement manual
Lifting guidelines
Copy of BWC's Billing and Reimbursement Manual, which users can download by chapter, and a copy of the quarterly update newsletter.

Interactive service that allows you to enter specific criteria to help you develop realistic recommendations for lifting guidelines.
Outpatient medication prior authorization requirements
Medical position papers
Program information and list of drug classes for outpatient medication prior authorization program. Download and print position papers on a variety of topics written by BWC's medical director.
Group provider relationship admin
Pharmacy benefits program
POR provider types with e-accounts have the ability to delegate or revoke their e-account privileges to a group provider type. Learn more about BWC's two outpatient medication prior authorization programs to ensure we reimburse only for medications related to workplace injuries and provide preferred drugs to injured workers.
DEP evaluators manual
MCO Policy Reference Guide
View a copy of BWC's disability evaluators manual. Download and view a copy of this manual that provides information about policies and procedures for BWC and MCO staff.