Ohio Workers Comp: What is an allowed condition?
If you are to receive medical treatment or compensation from a work related injury, the medical condition must be allowed by the Ohio BWC. Some examples of medical conditions allowed in a workers comp claim are herniated discs, fractures, amputation, torn ACL, PTSD and depression.
The Ohio BWC website defines “allowed condition.”
An allowed condition is recognized as being a direct result of a compensable work-related injury or occupational disease which is supported by medical documentation from your provider.
What happens if a condition is not allowed?
When the claim investigation determines that the condition could not or did not happen as a result of the work related injury, the Customer Service Specialist (CSS) will deny the condition.
When a claim has several conditions reported and the medical documentation does not support all of the conditions, the CSS will issue an order allowing the documented condition(s) and will advise the injured worker that the other conditions will be addressed upon receipt of additional medical documentation.