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Medical Provider | U.S. Department of Labor - DOL

    https://www.dol.gov/agencies/owcp/FECA/medicalprovider
    Medical Authorization and Bill Processing Information on the process for submitting medical authorization requests and bill. Medical Authorization/Bill Pay Web Portal A link to access OWCP's web bill processing portal, where medical providers may enroll to treat …

Disclosures for Workers' Compensation Purposes

    https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-workers-compensation/index.html
    For purposes of obtaining payment for any health care provided to the injured or ill worker. See 45 CFR 164.502 (a) (1) (ii) and the definition of “payment” at 45 CFR 164.501. …

Basic Information on New Claims | U.S. Department of …

    https://www.dol.gov/agencies/owcp/FECA/regs/compliance/Basic-Information-on-New-Claims
    Further information regarding medical authorizations can be found in the Medical Authorization/Bill Pay for Injured Workers section of our website. Medical Bills. All …

Forms | U.S. Department of Labor - DOL

    https://www.dol.gov/agencies/owcp/FECA/regs/compliance/forms
    Simply click on the appropriate form and print it using the [Print] button provided near the top of the form. Write or type the required information on the hardcopy …

Information for Medical Providers | U.S. Department of …

    https://www.dol.gov/agencies/owcp/FECA/regs/compliance/infomedprov
    Request authorization on the OWCP Web Bill Processing Portal or fax the appropriate Medical Authorization form and supporting documentation to 800-215-4901. The Claims …

DFEC Online Authorizations - DOL

    https://owcpmed.dol.gov/portal/webinars/DFEC%20Online%20Authorizations.pdf
    Authorization Requirements Before submitting an authorization to CNSI, confirm that the claimant is eligible and that an authorization is required for the services you are …

Authorization Renewal for Health Care Providers and …

    http://www.wcb.ny.gov/content/main/hcpp/auth-renewal.jsp
    Access the Medical Portal with your NY.gov account. If you do not have a NY.gov account, you must sign up for access. Complete and submit the WCB …

State of California, Division of Workers’ …

    https://www.dir.ca.gov/dwc/DWCPropRegs/IMR/IMR_FormRFAClean.pdf
    Overview: The Request for Authorization for Medical Treatment (DWC Form RFA) is required for the employee’s treating physician to initiate the utilization review process …

Medical Portal Health Care Providers - Government of …

    http://www.wcb.ny.gov/medicalportal/health-care-providers-overview.jsp
    The Medical Portal is available to multiple Board stakeholders, including health care providers, payers (which include insurance carriers, third-party administrators, and self …

MD WORKERS’ COMPENSATION COMMISSION …

    https://www.wcc.state.md.us/PDF/PDF_Forms/A25.pdf
    workers’ compensation claims. C. Entities Authorized to Make Disclosure This document authorizes any health plan, physician, health care professional, dentist, hospital, clinic, …



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