Ohio's managed care organizations are the mandatory billing channel between providers and BWC. Here's how the payer details voc-rehab billers use every week fit together — the same payer blocks Med Claims Pro attaches to each CMS-1500.
4200 Commerce Park Dr
Columbus, Ohio 43219
Fax: 800-555-0142
PO Box 5500
Canton, Ohio 44701
Fax: 800-555-0187 · Phone: 800-555-0190
PO Box 1200
Dublin, Ohio 43017
Fax: 800-555-0164
1850 Corporate Way Suite 300
Blue Ash, Ohio 45242
Fax: 800-555-0173
900 Lakeshore Pkwy
Westlake, Ohio 44145
Fax: 800-555-0158
Each MCO you add is a configured payer: its own CMS-1500 template, payer block pre-printed, and fax details attached — so a generated form is ready to send the moment it exists.
Billing notes (Ohio BWC process): voc-rehab bills and reports go to the employer's MCO — one copy, MCO only (don't duplicate to BWC). Timely filing in Ohio is one year. Underpayments start as a rebill/adjustment request to the MCO, which also prices unlisted voc-rehab codes from your report. Confirm the current process against BWC's and each MCO's own published provider materials before relying on it.
The employer's MCO — every Ohio employer selects one, and the claim carries it. It's a case-level fact, which is why Med Claims Pro attaches the payer to the case and routes every document accordingly.
Fax remains a standard voc-rehab billing channel to Ohio MCOs. Send to the MCO fax listed on your own provider materials, and keep the transmission receipt — it's your timely-filing evidence.
Payer details are editable data in Med Claims Pro, not hardcoded. Update the payer once and every future form and cover sheet uses the new details.