Managed Care

Medical Bills & Workers’ Comp

Andrea Kiener
Reading time 2 Mins
Published on Sep 23

Have your employees ever received medical bills related to their Ohio workers’ compensation claim, and wondered why they’re being billed?

There is a simple explanation: The physician’s billing office may not be aware that the charges are related to a workers’ comp claim. To be certain, the actual statement will always tell the story. If it shows the medical insurance was billed, or there is a discount noted for not having insurance, it’s a good indicator the physician’s offices doesn’t have the employee’s workers’ compensation information on file.

The best way to remedy this situation is to act quickly and follow these simple steps

  1. Have the employee contact the physician’s office to clarify the injury was work related. Your employee will need to have their BWC claim number and Managed Care Organization’s (MCO) contact information when they speak to the providers’ office.
  2. You, as the employer of record can contact your MCO right way to discuss the matter. Your MCO will be able to assist you and your injured employee to ensure the bill is properly address with the physician’s office.
  3. The employee can then follow up with the physician’s office to confirm their records have been properly updated to reflect their injury is a workers’ compensation claim.
  4. The employee or you, the employer of record, can follow up with your MCO to verify the physician has billed the MCO and payment will be forthcoming.

Your employees should not receive any medical bills for their workplace injury. If at any time during the life of the claim they do get a bill, make sure you follow the steps outlined above. Immediate attention to medical billing statements will prevent any collection activity that could negatively impact your credit scores. Remember to always work with your MCO to ensure workers’ comp medical bills are paid accurately and timely.

You may want to read

See all articles