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OH BWC MEDCO-13 2012 free printable template

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Application for Provider Enrollment and Certification MEDCO-13 The first step to becoming BWC certified is to complete the Application for Provider Enrollment and Certification MEDCO-13. Www. bwc.ohio. gov Completing the MEDCO-13 Please print or type. Please complete one application/agreement per federal tax identification number. Minimum credentials for providers are established based on the provider type. Once the certification process is completed we will include your name on the provider...
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How to fill out OH BWC MEDCO-13

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How to fill out OH BWC MEDCO-13

01
Obtain the OH BWC MEDCO-13 form from the Ohio Bureau of Workers' Compensation website or your employer.
02
Fill in employee information, including name, address, date of birth, and claim number.
03
Provide the details of the work-related injury, including date of injury and description of the injury.
04
Include information about the healthcare provider, such as name, address, and phone number.
05
Document any treatments or services provided, including dates and descriptions.
06
Indicate any restrictions or limitations related to the employee’s ability to work.
07
Sign and date the form to certify that the information provided is accurate.

Who needs OH BWC MEDCO-13?

01
Employees who have sustained a work-related injury and are seeking treatment.
02
Healthcare providers treating injured workers who need to report treatment to the Ohio Bureau of Workers' Compensation.
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People Also Ask about

In terms of processing time, the BWC maintains a 28-day turnaround time for all Ohio workers' compensation claims. Within that 28-day period, the BWC will review the FROI and make a decision as to approval or denial of the underlying claim.
For example, the classification for a physician's office is 8832 - Physician & Clerical.
BWC issues certificates of coverage to employers after they submit an Application for Workers' Compensation Coverage (U-3) and pay a non-refundable application fee of $120. They'll also receive a new certificate at the beginning of each policy year.
Types of Businesses That Do Not Have to Carry Workers' Comp Family farm corporate officers with no employees. Individuals incorporated as a business with no employees. Limited liability companies acting as sole proprietors with no employees. Limited liability companies acting as partnerships with no employees.
In Ohio, all employers with one or more employees must, by law, have workers' compensation coverage. Coverage for Ohio employers and their employees becomes effective when BWC receives: A completed Application for Ohio Workers' Compensation Coverage (U-3). $120 (minimum) non-refundable application.
BWC pays medical benefits and lost wages to employees who are injured or contract an occupational disease on the job. We also pay death benefits to survivors when a death results from a work-related injury or disease. Ohio law requires employers to obtain workers' compensation insurance for all employees.

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OH BWC MEDCO-13 is a medical authorization form used in Ohio for workers' compensation claims to authorize medical treatment for injured workers.
Employers, healthcare providers, or the injured workers themselves may be required to file the OH BWC MEDCO-13 to ensure that medical services are approved and covered under the workers' compensation program.
To fill out OH BWC MEDCO-13, provide the injured worker's personal information, details of the injury, a description of the required medical treatment, and any relevant information as instructed on the form.
The purpose of OH BWC MEDCO-13 is to obtain necessary medical approval for treatment related to a work-related injury, ensuring that the healthcare provider receives payment through the workers' compensation system.
The information that must be reported on OH BWC MEDCO-13 includes the injured worker's name, claim number, date of injury, diagnosis, prescribed medical treatment, and the signature of the healthcare provider.
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