Comply with Ohio workers’ compensation laws and rules;
Maintain adequate, current professional malpractice and liability insurance;
Practice in a managed-care environment and comply with utilization review
determinations;
Bill only for services and items performed or provided, and medically necessary,
cost-effective and related to the claim or allowed condition;
Inform the injured worker of his or her liability for payment of non-covered
services prior to delivery;
Charge no more than the usual fee billed to non-industrial patients for the same
service;
Accept reimbursement and not unbundle charges into separate procedure codes
when a single procedure code is more appropriate;
Not balance bill the injured worker or employer. Injured workers are not required
to contribute a co-payment and do not have to meet any deductibles;
Maintain workers’ compensation coverage to the extent required under Ohio Law or
the equivalent law of another state.
BWC certification is an ongoing process for new providers. Call 1-800-OHIOBWC,
and follow the prompts for an application, or click on the link below to download one.