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Participating in the process

When a work-related injury occurs, it's important for all involved parties to assist with the claim and the return-to-work efforts. Below is a list of involved parties who play an active role in the workers' compensation process, along with some of their high-level activities.

Injured workers are responsible for:

  • Reporting a workplace injury to their employer.
  • Notifying their employer if a workers' compensation claim has been filed.
  • Providing BWC and/or the managed care organization (MCO) with all requested information related to their claim. To release medical information, the injured worker completes the Authorization to Release Medical Information (C-101).

Normally for workers' compensation claims, injured workers use the C-101 to ask providers to release medical information. However, sometimes providers, due to HIPPA concerns, will require a provider's proprietary medical release form. To address this potential issue, we're making Medicaid's medical release form available for download.
Note: Before you begin, download the instructions.

  • Following the medical restrictions their doctor recommends.
  • Keeping their employer informed of their progress and any obstacles encountered.

Employers are responsible for:

  • Reporting all workplace injuries to their MCO.
  • Investigating all workplace accidents promptly.
  • Informing BWC of their decision to certify (confirm an injury has occurred) or reject the workers' compensation claim. Employers can notify BWC of their decision by:
  • Monitoring the status of the injured worker, including during any time when the employee is not working.
  • Coordinating remain-at-work /return-to-work strategies with the injured worker, MCO, medical providers and BWC.

BWC is responsible for:

  • Investigating reported work-related injuries.
  • Making work-related injury claim determinations.
  • Determining allowed conditions, which means BWC issues a claim decision based on the injury's diagnosis.
  • Managing and paying workers' compensation benefits.
  • Determining eligibility for rehabilitation services.
  • Assisting with bringing a claim to resolution.

MCOs are responsible for:

  • Managing the medical aspects of the workers' compensation claim.
  • Approving or denying treatment requests.
  • Paying the injury-related medical bills.
  • Working closely with the employer and BWC to return the injured employee to work as quickly and safely as possible.

Third-party administrators (TPAs) are responsible for:

  • Assisting an employer in managing their claims.

The Ohio Industrial Commission (IC) is responsible for:

  • Resolving appeals filed by an injured worker or employer who disagrees with a claim decision. Refer to Appealing a claim decision for more information.