The state's service-code families and levels. All four case types. All five managed care organizations. Monday-week billing and CMS-1500s with automatic overflow forms. This isn't generic medical billing software with an Ohio sticker — it was built inside a working Ohio vocational rehab practice.
W-codes for standard and Job Retention cases (the code never decides which — you do, per case), B-codes for Self-Insured with per-case rates, Z-codes for Remain-at-Work. Leveled codes bill Level 1, 2, or 3 rates automatically. Full code reference →
Rates change on the state's timeline (current schedule: October 2025; next expected October 2026). Every rate is dated — new schedules arrive as an update, and your history keeps its historical rates for audits.
Northgate MCO, Vantage Care, Clearpath Comp, Anchorpoint MCO, and Ridgeline WC — each with its own CMS-1500 template, payer block, and fax number. MCO directory →
Six service lines per CMS-1500; line seven starts the second form on its own. Each form gets its own receivable row — because that's exactly how the checks come back.
Work files itself to the correct Monday billing week the moment you enter it. Weekly Word logs and claim forms generate per client, per week, named the way your folders already expect.
A managed-care check covers a dozen claimants. Record it once, allocate across bills, and short payments get flagged with the exact remaining balance.
How the system works — as configured in the Ohio edition. (Ohio's workers' compensation system runs through the state Bureau of Workers' Compensation and employer-selected managed care organizations.)
BWC — standard vocational rehabilitation (W-codes)
Job Retention — shares W-codes; chosen per case
Self-Insured — B-codes, rates set per case
Remain at Work — Z-codes
Provider → the employer's managed care organization → the state. Bills go to the MCO (typically by fax), one copy only. Timely filing: one year. Underpayments start with an MCO rebill/adjustment request.
Time-based codes go on the form ×10 (0.1 units → "1" in box 24G; ~0.1 unit ≈ 6 minutes). Count-based codes — mileage and outcome payments — go on as-is (23 miles → "23").
Yes — the full W-code family with the leveled variants (base = Level 1, W2 suffix = Level 2, W3 = Level 3), B-codes for Self-Insured, and Z-codes for Remain-at-Work, all effective-dated so schedule changes never corrupt history. See the code reference.
All five used for vocational rehab billing: Northgate MCO, Vantage Care, Clearpath Comp, Anchorpoint MCO, and Ridgeline WC — each with its own CMS-1500 template and payer details built in.
Overflow forms generate automatically, and each form gets its own accounts receivable row so checks reconcile per form — the way payers actually pay.
Yes. Documents are written into your existing client folders using your existing naming conventions. The software adapts to your filing system, never the other way around.
No. Everything stays in a local database on your computer. Our servers handle only your account, subscription, and license — an architectural guarantee. How that works.