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Injury On Duty

Metro’s Injured on Duty (IOD) program provides quality medical treatment – at no cost – to Metro employees who are injured on the job. Metro's IOD program is a self-insured program administered by Alternative Service Concepts (ASC) and is not workers' compensation and therefore is not subject to workers' compensation regulatory requirements.

ASC’s role is to manage the IOD injury claim process, assist employees in coordinating their medical care while ensuring their successful return to work. Full and rapid recovery is the goal for any Metro employee who is injured on the job.

No payment shall be made when personal injuries were due to the employee's willful misconduct, intentional self-inflicted injury, intoxication, or willful failure/refusal to use a safety appliance or perform a duty required by law. No payment shall be made in the case of death due to sickness or disease.

The network of providers for the IOD program is provided through BlueCross BlueShield of Tennessee and ASC. Please follow the links on this site to access network providers for all services except for inpatient hospital services and outpatient facilities including surgical centers.

For network providers at these facilities, please contact your ASC adjuster or call 615-360-2800. 

The most current directory of network providers.

If You Are Injured on the Job

  1. Report your injury to your supervisor immediately. If your injury is urgent or life-threatening, please seek treatment immediately from the nearest hospital.
  2. Your supervisor will complete the necessary injury forms and submit them to ASC. You may need to sign these forms. Please coordinate with your supervisor accordingly.
  3. Before you receive services for your on-the-job injury, decide whether to use your IOD Network or Metro Group Insurance for your IOD injuries. For an IOD Network provider, an employee needs Employer's Authorization for Care (Blue Card), Pharmacy Authorization Form, and IOD Report Form. For a Group provider, an employee needs IOD Report Form and Group Insurance Out-of-Pocket Reimbursement Form.
  4. Report back to your supervisor and/or case adjuster following your visit to the physician.

If You Have an Existing IOD Case

All existing IOD cases shall be allowed to continue treatment with their current physician. If that physician is an IOD Network Provider, the physician's office shall be notified of ASC's involvement and subsequent treatment will be handled accordingly. If that physician is not an IOD Network Provider, he/she will not be recruited at this time. Such employees will be advised that they can continue treatment with their physician. ASC will send information to the injured worker on how to recover all out-of-pocket expenses. A signed medical release will be sent when medical records are requested.

Treatment OptionsRed Cross bandages

for both New and Existing IOD cases 

Emergency Care
All Metro Nashville hospitals and many surrounding county hospitals are covered at 100% for IOD cases (see IOD Network Directory for a full list of providers).

IOD Network

The employee may seek treatment from an IOD Network provider. The employee incurs no out-of-pocket expenses under this network. All treatment, including pharmacy, is covered at 100%.

Group Health Insurance

The employee may seek treatment from his/her group health provider. The employee is initially responsible for co-pays and deductibles using this option. ASC will reimburse the employee for verified out-of-pocket expenses.