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)?
A: MEDCO-13 (BWC-3913) is an application form for provider enrollment and certification in Ohio.

Q: Who needs to fill out MEDCO-13 (BWC-3913)?
A: Healthcare providers in Ohio who want to enroll and be certified to provide services to injured workers need to fill out MEDCO-13 (BWC-3913).

Q: What information do I need to provide on MEDCO-13 (BWC-3913)?
A: You need to provide information such as your contact details, professional qualifications, licensing information, tax identification number, and disclosure of any criminal history.

Q: What happens after my MEDCO-13 (BWC-3913) application is approved?
A: If your MEDCO-13 (BWC-3913) application is approved, you will be issued a provider number and certification to provide services to injured workers in Ohio.

Q: What if my MEDCO-13 (BWC-3913) application is denied?
A: If your MEDCO-13 (BWC-3913) application is denied, you will receive notification from the Ohio Bureau of Workers' Compensation (BWC) with details about the denial and any recourse options.

Q: Can I update my information after submitting MEDCO-13 (BWC-3913)?
A: Yes, you can update your information after submitting MEDCO-13 (BWC-3913). Contact the Ohio Bureau of Workers' Compensation (BWC) to find out how to make updates to your provider information.