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AultCompMCO
INJURY REPORTING REQUIREMENTS
4123-6-02.8 -  Provider requirement to notify of injury.
 
(A) HPP: Within one working day of initial treatment or initial visit of an injured worker, a provider must report the employee's injury or occupational disease in accordance with either paragraph (A)(1) or (A)(2) of this rule.
 
(1) A provider may report an injury to the MCO responsible for medical management of the employee's treatment. When reporting the injury to the MCO, the provider shall do so in accordance with procedures established by the bureau.
 
(2) A provider may report an injury to the bureau through the bureau's website pursuant to rule 4125-1-02 of the Administrative Code.
 
(B) QHP: Within one working day of initial treatment or initial visit of an injured worker, a provider must report the employee's injury or occupational disease to the QHP or employer.
 
(C) Self-insuring employer (non-QHP): Within one working day of initial treatment or initial visit of an injured worker, a provider must report the employee's injury or occupational disease to the self-insuring employer.
 
Effective: 11/13/15 Prior Effective Dates: 2/16/96, 2/14/05, 2/1/10, 1/1/13
AultComp MCO, Inc.
PO Box 36149
Canton, Ohio 44735-6149

AultComp MCO, Inc.
4650 HIlls & Dales Rd NW
Suite 360
Canton, Ohio 44708


Service Center Hours:
8:00 am to 5:00 pm EST

Phone: 330-830-4919
Toll Free: 1-888-738-5800


Medical Repository Fax:
330-830-4900
1-877-738-0058

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