If you and/or your employer disagree with a decision made on your workers'
compensation claim, you may file an appeal with the Industrial Commission of
Ohio (IC) within 14 days of receipt of the decision. The IC holds hearings to
resolve disputes. Employers and employees may appeal IC decisions to the
Ohio Common Pleas Court.
For more information on the hearing process, contact the IC at 1-800-521-2691
or visit the IC web site.
Dispute resolution is also known as the Alternative Dispute Resolution (ADR)
process. ADR affords due process regarding conflicts in medical issues but
does not include billing grievances (OAC
4123-6-16).
ADR is intended to resolve disputes related to medical issues that arise
between the MCO, BWC, employer, injured worker and/or provider. Here are some examples of ADR issues:
Quality assurance;
Utilization review;
Determination that a service is or is not covered;
