BWC pays for a variety of services provided to injured workers, including medical treatment, durable medical equipment, vocational rehabilitation services and authorized travel reimbursements. Under Ohio workers' compensation laws and rules, all providers are paid the lesser of the billed amount, BWC fee schedule amount or the MCO panel amount, if they are on an MCO's provider panel. Additionally, injured workers receive all workers' compensation medical services without a co-payment, and providers cannot bill injured workers for the difference between the BWC-reimbursed amount and the provider's charges (i.e., balance billing).

Providers submit most bills to the managed care organizations, who then forward them to BWC. After we determine a bill should be paid, we issue a payment to the MCO. The MCO is responsible for reimbursing the provider. If a bill cannot be paid, the MCO notifies the provider. The two exceptions to this process are injured worker travel reimbursements and prescription bills.

Before billing for travel expenses, the injured worker must secure authorization from BWC and submit all travel bills to BWC. We will not reimburse for unauthorized travel expenses.

Click here to learn more about injured worker travel reimbursements.

Providers should not submit prescription bills to either BWC or the MCOs. BWC’s Pharmacy Benefits Manager handles prescription bills.

How to view bills online
Only parties to a claim (i.e., injured workers, employers and their authorized representatives) and providers can access medical bill information through our Web site. To view medical bill information, you will need the following:

• An e-account;
• BWC provider number;
• If you are party to a claim, you need a valid BWC claim number;
• Specific date-of-service range to limit your search (maximum range is 90 days);
• Search type – medical or prescription.

What you can view online
You can search for bills in 90-day increments based on date of service (DOS). Searches will return bills processed within two years of the current date. You will see no more than 10 records at a time. If your search has more than 10 bills, you will see the number of records in the record table. To navigate between pages, simply click either previous or next.

Here is the information you can view for each bill.

• Injured worker name – The injured worker's first and last name appear as they are recorded on BWC's claims system.
• Claim number – The BWC-assigned claim number is displayed.
• Servicing provider name - This is the name of the provider who performed the service or treatment.
• Date of service (DOS) – This is the date that an injured worker received services. The displayed date is the first date listed on the submitted bill.
• Billed amount – This is the sum of all charges billed by the provider.
• Paid amount – This is the sum of all allowed and reimbursed charges.
• Adjustment indicator – A check mark indicates that a bill has been adjusted.

If you click on the Servicing provider name, you can access this additional information listed below.

• Pay-to provider name – This is the name of the provider receiving payment for medical services.
• BWC invoice number – This unique number identifies an individual bill.
• Funds release date – This is the date that BWC released funds to a provider, an MCO or an injured worker (in the case of travel reimbursement).
• EFT number – A payment number given to each electronic funds transfer (EFT), which is an electronic method of issuing reimbursement. BWC uses this eight-digit number for tracking purposes and to respond to inquiries from MCOs.
• Bill status – This states the current status of a specific bill (i.e., paid, denied, reversed, adjusted or in-process).
• Adjusted bill – A yes/no description indicates if a bill has been adjusted.
• MCO name – The name of the injured worker’s managed care organization.
• MCO phone number – This is the MCO's toll-free telephone number. If there is no phone number displayed, you can look it up in the MCO Directory, Employer/MCO look-up or call 1-800-OHIOBWC.
• MCO number – This five-digit number identifies the injured worker's MCO.
• Remit number - This number identifies the detailed list of bills that have been paid or denied to a provider or injured worker. The list accompanies the check sent to the provider or injured worker. This data is only available if prescription is the bill type.