Policies & Procedures
Employers Q & A
How to file a Claim
Reporting Lost Time
Return to Work Programs
Injury Packets/ Educational Materials
All workers must have identification cards specifically for workers' compensation coverage. The identification cards will specify the managed care organization (MCO) contracted by the employer and important telephone numbers.
Spooner Medical Administrators, Inc. will provide employers with a supply of MCO identification cards to distribute to their employees. Additional cards may be obtained by contacting Spooner Medical Administrators, Inc.
When an Injury Occurs
Early reporting is essential to reducing workers' compensation costs. Injured workers must be given effective treatment before an injury becomes more serious or before more damage is done.
Be sure to report injuries to Spooner Medical Administrators, Inc. as soon as you are aware that an injury has occurred.
We can then assist in getting the injured worker quality treatment which will foster a timely return to work.
Choosing a Medical Provider
Spooner Medical Administrators, Inc. works with excellent BWC certified doctors who share the goal of providing quality medical treatment and returning workers to the job safely. Injured workers may seek medical care from any BWC certified doctor. If needed, Spooner Medical Administrators, Inc. can assist with finding a doctor. Telephone referrals will be available from Spooner Medical Administrators, Inc. during office hours: Weekdays 8:00 AM - 5:00 PM.
If you would like to search for a provider
in our network or if you want a copy of our provider directory, then click
Submission of Claims
Claims should be submitted by employees in the same way they have been in the past. The MCO does not change that aspect of your workers compensation program. Your relationship with your third party administrator, if you have one, will remain unchanged.
Payment of Medical Bills
Injured workers are not required to pay the doctor for treatment for allowed claims. Keep in mind that only the Ohio BWC can determine whether or not a workers' compensation claim is approved and for what medical conditions. Medical payments will not be paid until the claim determination is made by the BWC. If an injured worker has paid for medical services from a BWC certified doctor out of pocket for an allowed workers compensation claim, they then may be reimbursed by submitting proof of payment to Spooner Medical Administrators, Inc. Compensation checks for lost time are processed by the Ohio BWC.
The Role of Employers in a Return to Work Program
The employer's role is to provide the information needed for medical providers to effectively evaluate the injured workers' ability to perform his/her job and to assist in developing modified or alternative work arrangements when they are recommended.
The Role of Spooner Medical Administrators
Spooner Medical Administrators, Inc. is an MCO authorized by the BWC to provide employees with medical management services. Our services include case management, prior authorization of medical treatment and payment of medical bills.
Managed care procedures were designed to promote quality care while controlling costs. The workers' compensation program utilizes:
Contact Spooner Medical Administrators, Inc. with any question you have about your claims or the workers' compensation process.
Spooner Medical Administrators, Inc. | 28301 Ranney Parkway | Westlake, Oh 44145 | Main: 440.899.2400 | Toll-Free: 800.542.9479 | Fax: 440.899.2411