Working with SMAI:
Provider Procedures BWC Medical Guide How to submit Bills Rules & Timeframe for Bill Payment Process Check Bill Status FAQ
Frequently Asked Questions
While a claim is enrolled in the $15K program, SMAI cannot medically manage the claim, approve authorization for treatment, or pay medical bills. Any C-9's received by SMAI will be dismissed with EOB 1010:
For Bill Payment, bill the employer directly for services related to injuries covered by the $15K program. For claims with a date of injury before July 1, 2009, the employer must either pay the billed charge or negotiate an appropriate reimbursement level. For claims with a date of injury after July 1, 2009, the employer can pay in accordance with BWC's fee schedule. All bills must be paid within 30 days of receipt. When the claim is opted out of the $15K program, SMAI will begin to manage the claim and will process subsequent bills according to the MCO's billing guidelines.Back to Top
How to get BWC Certified?
For providers located within the state of Ohio, print the MEDCO-13
or MEDCO-13a form (depending
on your provider type) and fax the completed form to BWC Provider Enrollment
at the number listed on the form.
How to check the Status of a Bill?
To check on the status of a bill, call SMAI at (440)899-2400/(800)542-9479 and press option #5 to speak to our Billing Department or click here to submit a request online.Back to Top
Spooner Medical Administrators, Inc. | 28301 Ranney Parkway | Westlake, Oh 44145 | Main: 440.899.2400 | Toll-Free: 800.542.9479 | Fax: 440.899.2411