What is the difference between BWC, an MCO, and a TPA in the claims management process?
BWC- The Ohio Bureau of Workers’ Compensation (BWC) is responsible for making initial claim and diagnoses determinations. MCO- A Managed Care Organization (MCO) is a private company that an employer selects to medically manage the workers’ compensation claims for injured employees. MCOs are responsible for filing a first report of injury with BWC, medically managing claims, and coordinating medical bill payment. MCOs help coordinate a safe and timely return to work for injured workers. TPA- A Third Party Administrator is a private company that an employer contracts with to represent the employer’s interests on issues relating to matters regarding workers’ compensation and alternative rating programs.
