Skip to main content
OWCP Medical Bill Processing Portal
OFFICE OF WORKERS' COMPENSATION PROGRAMS

OFFICE OF WORKERS' COMPENSATION PROGRAMS

MEDICAL BILL PROCESSING PORTAL

MEDICAL BILL PROCESSING PORTAL

Federal Employee/Nuclear Weapons Workers/Coal Mine Workers
OWCP Medical Bill Processing Portal
FAQs CONTACT US

Main Menu

  • Home
  • Provider
    • Provider Home
    • Enrollments
    • Authorizations
    • Billing
    • Payments
    • Provider Manual
  • Claimant
  • Login
    • DOL Staff
    • Provider
    • Claimant
    • Representative
    • Auditor
  • Resources
    • Training & Tutorials
    • FAQs
    • Forms & References
    • News
    • Fee Schedules
    • Announcement Archive
  • Pharmacy/LMN
    • DFEC
    • DCMWC/DEEOIC
  • Contact Us
  1. Home
  2. Forms & References
  3. DEEOIC

Forms and References

General
DCMWC
DEEOIC
DFEC

DEEOIC Forms and References

A Message to Medical Providers: Providers will experience faster processing timeframes with electronic submissions, and our online notification of submission errors help further reduce processing times. Hardcopy bills and documents require a team of individuals to open, scan, and transmit these documents to our bill processor for payment. To avoid any delay, OWCP is asking that medical providers submit medical bills/attachments, authorizations, and non-bill documents electronically.

If you need assistance with submitting electronically, please call:

  • DEEOIC:  1-866-272-2682

Claimant Reimbursement

Claimant Medical Reimbursement (OWCP-915)

Medical Travel Refund Request - Mileage (OWCP-957A)

Medical Travel Refund Request - Expenses (OWCP-957B)

 

Provider Bills

Health Insurance Claim Form (OWCP-1500)

Uniform Health Insurance Claim Form (OWCP-04)

ADA Dental Claim Form

DEEOIC WCMBP Payments Calendar 2025

 

Authorization Forms

Form EE-22 – General Medical Authorization Request

Form EE-24 – Durable Medical Equipment Authorization Request

Form EE-26 – Rehabilitative Therapies Authorization Request

Form EE-28 – Transportation Authorization Request

Form EE-30 – Transplant Authorization Request

Form EE-32 – Home Health Care Authorization Request

United States Department of Labor

Office of Workers'
Compensation Programs

An agency within the U.S.
Department of Labor

200 Constitution Ave NW
Washington, DC 20210

CONTACT US

DFEC: 1-844-493-1966
DEEOIC: 1-866-272-2682
DCMWC: 1-800-638-7072
OWCP Medical Bill Processing
www.dol.gov

PROVIDER

Find a Provider
Provider Home
Provider Login
Provider Enrollment
Pharmacy (DFEC)
Pharmacy (DCMWC, DEEOIC)
Forms and References

DOL | OWCP PROGRAMS INFO

DOL | OWCP | DCMWC | DEEOIC | DFEC | DLHWC

Acentra Health Employee Login