Medical bill status information
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BWC pays for a variety of services provided to injured workers (i.e.
medical treatment, durable medical equipment, rehabilitation,
authorized travel expenses). Injured workers do not pay a deductible
or co-pay; providers are not permitted to bill injured workers for
any balance left over after BWC pays. Most medical bills are
submitted directly to the managed care organization (MCO) for payment
with the exception of bills for injured worker travel expenses, which
are submitted to BWC for payment.
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How to view bills online
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All parties to a claim may view basic
medical billing information through our Web site. You must enter a
valid claim number and select the medical payment information option. If
you are not a party to the claim, you cannot view information specific to
the claim.
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What is displayed
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The following information is displayed on each bill:
- Servicing provider name — the name of the individual physician who performed
the service or treatment;
- Pay to provider name – the name of the provider to whom the medical payment is made;
- Invoice number — a specific number assigned to identify an individual bill;
- Date of service — the date the injured worker received treatment;
- Funds release date — the date BWC releases funds either to a provider or to a
MCO;
- Bill status — the end result or present status of a specific submitted
medical bill (i.e. paid, denied, in process);
- Billed amount — the sum of all charges on a medical bill submitted by
the provider. This amount should be the sum of the entire bill;
- Amount allowed — the sum of the procedure charges after BWC has applied its
reimbursement policies;
- Remit number — the number identifying the detailed list of medical bills
that have been paid and denied to a medical provider. This list accompanies
the check sent to the medical provider;
- EFT number — a payment number given to each electronic funds transfer (EFT).
An EFT is an electronic method of distributing funds similar to direct
deposit. BWC uses this eight-digit number for tracking purposes and to respond to
inquires by MCOs;
- MCO name – the title identifying a particular MCO;
- MCO number — a five-digit number that identifies a particular MCO;
- MCO phone number —MCOs have toll-free telephone numbers, which you can
obtain on this Web site through the MCO Directory,
Employer/MCO look-up
or by calling 800-OHIOBWC.
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