E L P M A 1325 E. Kemper Road, Suite 115, Cincinnati, OH 45246 Phone: 1-800-447-6250 Fax: 1-888-275-9719 Employer Name: Employer Policy Number: WHEN A WORK-RELATED INJURY OCCURS, LET US HELP: IMMEDIATELY inform your Employer and/or GENEX Care for Ohio at 1-800-447-6250. Seek treatment from a BWC-certified provider listed in the provider directory. A directory can be obtained from your employer or by visiting www.ohiobwc.com. Present this Identification Card to the medical provider when seeking treatment. If you need assistance selecting a BWC-certified provider, physician, or clinic in your area, please contact your team at GENEX Care for Ohio. S MEDICAL EMERGENCIES In the event of an emergency, seek immediate care and contact your Employer and/or GENEX Care for Ohio as soon as possible. For additional assistance please visit: www.ohiobwc.com or www.genexservices.com E L P M A PHYSICIAN/MEDICAL PROVIDER To precertify medical treatment, or if you have questions about precertification policies or procedures, please call GENEX Care for Ohio at 800-447-6250. Please call at least 48 hours prior to non-emergency admission. Please call within 24 hours following an emergency admission. BILLS Please submit medical bills to GENEX Care for Ohio, 1325 East Kemper Road, Suite 115, Cincinnati, Ohio 45246. OUTPATIENT MEDICATIONS Effective 7/01/2002, ACS State Healthcare will serve as the BWC’s Pharmacy Benefits Manager (PBM). Inquiries on status of payments, pharmacy enrollment, etc. should be directed to 888-796-3864. S This employer participates in ❑ Drug-Free Workplace ❑ Transitional Work Program This card is not a guarantee of eligibility for workers’ compensation benefits or as an authorization for medical treatment.
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