A self-insured employer has 10 days to respond to an Ohio Workers’ Compensation C9 Form request from the Physician of Record (POR).
You need to make certain that your POR keeps a fax transmittal sheet to prove the date the C9 was sent to the Sepf Insured Employer’s third party administrator (TPA). Failure on the part of the SI employer to respond within the 10 day period, pursuant to OhioBWC rules, is considered permitting the treatment requested on the C9.
With regard to a state fund claim, the Ohio BWC has 3 days to respond.
If the SI Employer does not respond within 10 days, an injured worker can file a self-insured complaint with the Ohio BWC.
Mike Gruhin is an OhioBWC certified specialist attorney.