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Claim for Medical Reimbursement …

    https://www.dol.gov/sites/dolgov/files/owcp/dfec/regs/compliance/owcp-915.pdf

    Information for Injured Workers and their Representatives

      https://www.dol.gov/agencies/owcp/FECA/regs/compliance/infoinjuredwrkers
      A reimbursement claim for medical services, surgical services, medical appliances, or medical supplies must be accompanied by a copy of the OWCP-1500/HCFA-1500 …

    Online Forms | U.S. Department of Labor - DOL

      https://www.dol.gov/agencies/owcp/energy/regs/compliance/claim_forms
      Reimbursement for out-of-pocket medical expenses: OWCP-915; Uniform Billing Form for Medical Services: OWCP-04; Medical Travel Refund Request: OWCP-957 ; Direct …

    Medical Bill Processing Portal | Office of …

      https://owcpmed.dol.gov/
      OWCP Pricing Updated for RCC to CPT Crosswalk - 10-03-2022 - 10-03-2022 Effective October 1, 2022, Outpatient UB-04 billed lines submitted with both the Revenue Center Code (RCC) and a …

    Forms | U.S. Department of Labor - DOL

      https://www.dol.gov/agencies/owcp/FECA/regs/compliance/forms
      This form is only available to registered medical providers by logging into the OWCP Web Bill Portal. To submit the form, providers must click on the 'Provider' Link to the right …

    Federal Employees' Compensation Act — Frequently …

      https://www.dol.gov/agencies/owcp/FECA/fec-faq
      There needs to be medical documentation in the OWCP file supporting your inability to work as a result of your accepted medical condition for any period where LBB is claimed. …

    Claimant Reimbursement Forms - DOL

      https://owcpmed.dol.gov/portal/tutorials/Claimant_Reimbursement_Forms.pdf
      The OWCP-915 is used to seek reimbursement for out-of-pocket medical expenses pertaining to the treatment of an accepted condition including (but not limited to) medical …

    Medical Travel Refund Request U.S. Department of …

      https://www.dol.gov/sites/dolgov/files/owcp/dfec/regs/compliance/owcp-957.pdf
      b. The reason you are requesting reimbursement. 4. Enter the address of the person to be reimbursed. The address is to include: Street/RFD, City, State, Zip Code Note: If …

    OWCP | U.S. Department of Labor - DOL

      https://www.dol.gov/agencies/owcp
      The Office of Workers' Compensation Programs administers four major disability compensation programs which provide wage replacement benefits, medical treatment, vocational rehabilitation …

    OWCP Medical Fee Schedule | U.S. Department of …

      https://www.dol.gov/agencies/owcp/regs/feeschedule/fee
      OWCP Medical Fee Schedule. The U.S. Department of Labor's Office of Workers' Compensation Programs (OWCP) administers workers' compensation programs under …



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