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HELPFUL HINT:
BWC will
only pay for
the first visit
to any health care provider that is not certified by BWC. It's a good idea to choose a doctor that
is certified
by BWC.
Seeking Medical Attention

If you are injured in the course of employment and require emergency medical attention, you should seek it immediately.

Managed Care Organization (MCO)
Managed Care Organizations (MCO) were developed to provide timely, high quality care to injured workers and control the rising cost of health care. Each MCO has a network of providers certified by the Bureau of Workers' Compensation, and is responsible for medically managing workers' compensation claims.

Your Managed Care Organization Identification Card
You should have received an ID card that identifies your Managed Care Organization (MCO) from your agency. Be sure to show your card to any provider that you see for a work-related injury. Showing your MCO card will let the provider know that it may be a workers' compensation claim and that your MCO might be responsible for the payment of medical bills.

Providers Recommended by the MCO
Your MCO recommends a select list of doctors in your area to provide health care for you if you are injured at work. Your agency's personnel office has the list of providers recommended by your MCO.

BWC Certified Providers
You may receive medical attention from a provider that has been certified by the Bureau of Workers' Compensation even if the provider is not in your MCO's list. If you receive care from a provider that is not certified by BWC, your MCO will only pay for the first visit. After the first visit, any care from a provider that is not certified by BWC will not be covered. Ask your health care provider to see if he/she is certified by BWC.

Balance Billing
Your health care provider must accept any payment from BWC as payment in full for your allowed condition. The provider may not bill you for any amount not reimbursed by BWC. This is referred to as balance billing, and the provider may not bill you for care given to treat an allowed work-related condition.

 

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