4123-6-61 Payment in the QHP system - employer responsibility - generally

An employer utilizing a QHP is responsible for payment of all goods and services that are medically necessary and appropriate for allowed condition(s) in claims for injured workers under a QHP. Within each QHP, all payments shall be in accordance with consistent billing and payment policies and practices established by the QHP and consistent with the provisions contained in paragraph (L)(5) of rule 4123-19-03 of the Administrative Code.