Online support available Monday through Friday 7:30 a.m. - 5:30 p.m. Click here to get help!
OhioBWC - Basics: Alternative Dispute Resolution (ADR)
Alternative dispute resolution (ADR)
ADR is the process for resolving medical disputes between the managed care organization
(MCO), BWC, employer, injured worker, their representatives and/or provider without
litigation. ADR affords due process regarding conflicts in medical treatment, but does
not include fee schedule grievances. Providers can initiate a medical dispute in a
workers’ compensation claim. Providers should contact the MCO directly. They must
initiate their dispute within 14 days after they receive the initial decision in
writing from the MCO.
ADR can address the following issues:
Quality assurance;
Utilization review;
Determination that a service is or is not covered;