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OhioBWC - Basics:  Defintion of Fraud

               
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Definition of Fraud

Under ORC 2913.48 of the Ohio Revised Code, a person commits workers' compensation fraud if the person:

  • Receives workers' compensation benefits to which he or she is not entitled;
  • Makes false or misleading statements with the purpose of securing goods or services under the Workers' Compensation Act;
  • Alters, falsifies, destroys, conceals or removes records or documents necessary to establish the validity of a claim, or necessary to establish the nature of goods and services for which reimbursement is requested in a claim;
  • Enters into an agreement for conspiracy to defraud BWC or a self-insuring employer by making false claims for disability benefits.


 
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