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Spooner Medical Administrators, Inc. is the company that your employer selected to help with their workers' compensation claims. Our services include case management, prior authorization of medical treatment and payment of medical bills. Below are important items to keep in mind about the workers' compensation process.

  • If you are hurt at work, then it is important to tell your supervisor right away! We will file your claim with the Ohio Bureau of Workers' Compensation. We will call you first to answer any questions you have and also call your employer to let them know how you are doing.

  • The Ohio Bureau of Workers' Compensation is in charge of approving your claim. Once they make a decision, they will send you a letter. This decision making process can sometimes take a few weeks. If the Bureau allows your claim, then we will begin paying your medical bills for treatment that was approved and related to your injury.

  • Included with this letter is a medical card that can only be used for work-related injuries. If you need to see a doctor because of your injury, then you should show the doctor the card for their file. The identification card has your employers' name and their Ohio Bureau of Workers' Compensation account number. The card also provides important phone numbers, including where to call to report an injury.

  • The doctor that treats you must be certified by the Ohio Bureau of Workers' Compensation. If your doctor feels that a referral is needed for specialist care or other services, then he/she should refer you to a doctor certified by the Ohio Bureau of Workers' Compensation. See 'Choosing a Medical Provider' below if you need a doctor.

  • The doctor must get our approval for any more treatment after the initial visit. Please remind your doctor of this rule. All medical treatment requests will be reviewed to ensure appropriateness for your injury. You can appeal any treatment reimbursement decision made by Spooner Medical Administrators, Inc. Contact us for information regarding referrals and prior authorization.

  • The Bureau of Workers' Compensation is in charge of paying for your medication for your work related injury. If you need medication because of your injury, then you should tell the pharmacy to bill the Ohio Bureau of Workers' Compensation.

  • If you are expecting to receive a compensation check for lost work time, then this will be processed by the Ohio Bureau of Workers' Compensation. Contact the Ohio Bureau of Workers' Compensation with any questions regarding lost wages.

Choosing a Medical Provider

Spooner Medical Administrators, Inc. works with excellent Ohio Bureau of Workers' Compensation (BWC) certified doctors who share the goal of providing quality medical treatment and returning workers to the job safely. If needed, we can assist you 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 here. You may seek care from:

  • BWC certified physicians
  • Any physician, but if he/she isn't BWC certified, then you may be liable for your medical bills. Contact Spooner Medical Administrators, Inc. to determine if a physician is BWC certified.

Payment of Medical Bills

You are not required to pay the doctor for approved treatment for your allowed workers' compensation claim. Keep in mind that only the BWC can determine whether or not your workers' compensation claim is allowed and for what medical conditions. Spooner Medical Administrators, Inc. cannot pay your medical bills until this decision is made by the BWC. If you have paid for medical services out of your own pocket for a BWC certified provider for an allowed workers' compensation claim, then you can apply for reimbursement by sending the bill and proof of payment to Spooner Medical Administrators, Inc.

The Role of Employees in a Return to Work Program

Your role is to report an injury to your supervisor immediately and be treated by a BWC certified provider. You should also work with Spooner Medical Administrators, Inc. to make sure your claim is managed correctly and you return to work quickly and safely.

The Role of Spooner Medical Administrators

Spooner Medical Administrators, Inc. is a managed care organization 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. Contact Spooner Medical Administrators, Inc. with any question you have about your claim 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