Form MEDCO-13 (BWC-3913) Application for Provider Enrollment and Certification - Ohio

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form MEDCO-13 (BWC-3913) for the current year.

Form MEDCO-13 (BWC-3913) Application for Provider Enrollment and Certification - Ohio

What Is Form MEDCO-13 (BWC-3913)?

This is a legal form that was released by the Ohio Bureau of Workers' Compensation - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is MEDCO-13 (BWC-3913) Application for Provider Enrollment and Certification?
A: MEDCO-13 (BWC-3913) is the application form used in Ohio for provider enrollment and certification.

Q: Who needs to fill out MEDCO-13 (BWC-3913) Application?
A: Healthcare providers who wish to enroll and be certified in Ohio need to fill out the MEDCO-13 (BWC-3913) application.

Q: What is the purpose of MEDCO-13 (BWC-3913) Application?
A: The purpose of the MEDCO-13 (BWC-3913) application is to collect information about healthcare providers and their services in order to enroll and certify them in Ohio.

Q: What information is required in MEDCO-13 (BWC-3913) Application?
A: The MEDCO-13 (BWC-3913) application requires information such as provider details, practice information, tax identification number, and services offered.

Q: Is there a fee for submitting MEDCO-13 (BWC-3913) Application?
A: Yes, there is a fee associated with submitting the MEDCO-13 (BWC-3913) application. The fee varies depending on the type of provider.

Q: How long does it take for the MEDCO-13 (BWC-3913) Application to be processed?
A: The processing time for the MEDCO-13 (BWC-3913) application can vary, but it typically takes a few weeks to complete the certification process.

Q: Can I track the status of my MEDCO-13 (BWC-3913) Application?
A: Yes, you can track the status of your MEDCO-13 (BWC-3913) application by contacting the Ohio Bureau of Workers' Compensation (BWC).

Q: Are there any additional requirements for provider enrollment in Ohio?
A: Yes, there may be additional requirements for provider enrollment in Ohio, such as agreements with managed care organizations and compliance with billing and documentation guidelines.

ADVERTISEMENT

Form Details:

  • Released on January 11, 2018;
  • The latest edition provided by the Ohio Bureau of Workers' Compensation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form MEDCO-13 (BWC-3913) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form MEDCO-13 (BWC-3913) Application for Provider Enrollment and Certification - Ohio

4.7 of 5 (17 votes)
  • Form MEDCO-13 (BWC-3913) Application for Provider Enrollment and Certification - Ohio

    1

  • Form MEDCO-13 (BWC-3913) Application for Provider Enrollment and Certification - Ohio, Page 2

    2

  • Form MEDCO-13 (BWC-3913) Application for Provider Enrollment and Certification - Ohio, Page 3

    3

  • Form MEDCO-13 (BWC-3913) Application for Provider Enrollment and Certification - Ohio, Page 4

    4

  • Form MEDCO-13 (BWC-3913) Application for Provider Enrollment and Certification - Ohio, Page 5

    5

  • Form MEDCO-13 (BWC-3913) Application for Provider Enrollment and Certification - Ohio, Page 1
  • Form MEDCO-13 (BWC-3913) Application for Provider Enrollment and Certification - Ohio, Page 2
  • Form MEDCO-13 (BWC-3913) Application for Provider Enrollment and Certification - Ohio, Page 3
  • Form MEDCO-13 (BWC-3913) Application for Provider Enrollment and Certification - Ohio, Page 4
  • Form MEDCO-13 (BWC-3913) Application for Provider Enrollment and Certification - Ohio, Page 5
Prev 1 2 3 4 5 Next
ADVERTISEMENT