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OhioBWC - Basics: Reporting Fraud
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Reporting Fraud
If you suspect fraud, submit a fraud allegation
form or call our toll-free fraud hotline at
1-800-OHIOBWC and follow the options.
Learn how to identify fraud red flags.
You can remain anonymous when reporting suspected
fraud; however, you may be asked for information, such as:
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Name and address of person you are reporting;
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Details about the improper or fraudulent activity you suspect;
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A description of the person or persons involved, relevant claim number(s), type and date of injury,
name and location of employer or business address, job description and the hours worked.
To protect injured workers’ benefits and keep employer premiums
down, BWC is aggressively attacking fraud. The Special Investigations Department
investigates allegations of fraud committed against the state insurance
fund.
Many fraud cases start with tips and allegations from concerned
citizens, injured workers, employers and other witnesses who report activity
that may be an abuse of the workers' compensation system.
Special Investigations seeks to identify and recover funds
obtained illegally by injured workers, employers, health-care providers or attorneys in cases such as these:
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Individuals who collect BWC temporary total or permanent
total compensation benefits while working;
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False information supplied to BWC for financial or other
gain. This includes injured workers submitting falsified
or altered documents and employers misreporting or under-reporting
payroll;
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Improper billing for medical services. This includes billing
more than once for a particular service, billing by unlicensed
personnel and billing for services not rendered.
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