21 days

The MCO has 21 days to make a decision. MCO's medical dispute resolution process includes review by an individual or individuals licensed pursuant to the same section of the Revised Code as the health care provider.

From the time the MCO recieves notice of a medical dispute, the dispute process must be completed in 21 days, according to Ohio Administrative Code Section 4123-6-16.

7 days

If the provider, injured worker, or employer is not satisfied with the MCO decision, they can appeal to the BWC. Any appeal must be filed within 7 days of the MCO decision.

The MCO must refer the dispute to the BWC within 7 days of receipt of the appeal of their decision in order to have the BWC review the disputed medical issue.

14 days

The BWC has 14 days to decide the medical dispute. The BWC will issue a 'tentative order' announcing that decision.

14 days

The BWC tentative order may be appealed to the Industrial Commission (IC). An appeal must be filed within 14 days of the tentative order. Only the injured worker or employer may appeal to the IC. Neither the Medical provider and nor the MCO can appeal to the IC. If the tentative order is not appealed, it becomes a final order.