4123-6-41 No legal relationship between the industrial commission or bureau and a health care provider.

 

 

 

4123-6-41                    No  legal  relationship  between  the  industrial  commission  or bureau and a health care provider.

 

 

 

(A)      Direct payment to a health care provider or other person by the industrial commission, self-insuring employer, bureau of workers' compensation, or their agent, for medical care rendered to a claimant does not imply or create a legal relationship between the provider or person and the commission, self-insuring employer, bureau, or their agent.

 

(B)   The services rendered to the claimant are the legal obligation of the claimant. The direct payment to the health care provider is a discretionary method by which the award made to the claimant for medical expenses may be discharged.

 

(C)   Except as prohibited by division (K) of section 4121.44 of the Revised Code and rule 4123-6-07 of the Administrative Code, whether when payment is made to the claimant, or the claimant's obligation is discharged by a direct payment to the health care provider through payment to the MCO or QHP, the sole legal recourse of the health care provider is against the claimant.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4123-6-41                                                                                                                              2

Effective:                                                     02/01/2010

R.C. 119.032 review dates:                         11/17/2009 and 11/01/2014

CERTIFIED ELECTRONICALLY

Certification

01/22/2010

Date

Promulgated Under:                           119.03

Statutory Authority:                           4121.12, 4121.121, 4121.30, 4121.31, 4121.44,

4121.441, 4123.05, 4123.66

Rule Amplifies:                                  4121.121, 4121.44, 4121.441, 4123.66

Prior Effective Dates:                         2/12/97, 1/1/99, 2/14/05