Claimant DME Correspondence Review

The Department of Labor (DOL) requests that all claimants carefully review all correspondence received from the DOL concerning authorization and/or payment for Durable Medical Equipment or Medical Supplies. Please ensure that the Durable Medical Equipment or Medical Supplies identified in the communication have been received. If you find that you have not received any of the listed benefits or services, contact the DOL immediately to report the discrepancy.

Division of Coal Mine Workers' Compensation (DCMWC):1-800-638-7072

Division of Energy Employees Occupational Illness Compensation (DEEOIC): 1-866-272-2682

Division of Federal Employees' Compensation (DFEC): 1-844-493-1966

Thank you for your attention and cooperation.

OWCP Ambulatory Surgical Center Billing Update

Effective October 10, 2026, the Office of Workers' Compensation Programs (OWCP) will no longer require the SG modifier on Ambulatory Surgical Center (ASC) bills for dates of service on or after October 10, 2026.

Providers enrolled as an Ambulatory Surgical Center (ASC) (provider type 88) must submit professional bills or OWCP-1500s, however; for dates of service on or after 10/10/26, the SG modifier will no longer be required.

For questions regarding ASC pricing, please visit the OWCP Fee Schedules Read Me First | U.S. Department of Labor webpage.

For questions, contact our Call Center at the applicable phone number listed below where a representative will be happy to assist you.

Division of Coal Mine Workers' Compensation (DCMWC):
1-800-638-7072

Division of Energy Employees Occupational Illness Compensation (DEEOIC):
1-866-272-2682

Division of Federal Employees' Compensation (DFEC):
1-844-493-1966

DEEOIC Attachment Requirements for Transportation and DME

Effective October 10, 2026, the Division of Energy Employees Occupational Illness Compensation (DEEOIC) will implement new supporting documentation requirements for providers billing for transportation or durable medical equipment (DME) procedure codes.

Bills submitted without appropriate documentation may be denied or rejected per the guidelines below:

EOB Number EOB Description
90256 An attachment or other documentation is required to adjudicate this claim/service. Missing documentation: Transportation services must be accompanied by pickup and drop-off locations; date and time of service; mileage or total trip distance; and purpose of transportation
90257 or 92257 An attachment or other documentation is required to adjudicate this claim/service. Missing documentation: Proof of delivery is required for DME services including delivery/setup; date and time of service, specific item(s) delivered/setup; and the claimant’s signature or the signature of the person authorized to sign on the claimant’s behalf.

The signature must be provided by the claimant. If someone signs on the claimant’s behalf, the signer must be:

  • an Authorized Representative (AREP),
  • the claimant’s spouse, or
  • another family member who is at least 18 years of age.

For more information on submitting supporting documentation when billing electronically, view our Online Billing resource.

For questions, contact our Call Center at the phone number below, where a representative will be happy to assist you.

Division of Energy Employees Occupational Illness Compensation (DEEOIC):
1-866-272-2682

DEEOIC Enteral Nutrition Utilization Review

Effective August 29, 2026, the Office of Workers’ Compensation Programs (OWCP) Division of Energy Employees Occupational Illness Compensation (DEEOIC) will implement a new Utilization Review (UR) for enteral nutrition.

EOB Number Applicable Procedure Codes New Utilization Review
80461 B4034, B4035, B4036, B4148 Feeding supply kit limited to 51 units per 30 days
80462 B4081, B4082, B4083, B4087, B4088 Enteral tubing limited to 3 units per 90 days
80463 B4100 Food thickener limited to 96 units per 30 days
80464 B4149, B4150, B4152, B4153, B4154, B4155, B4157, B4158, B4159, B4160, B4161, B4162 Enteral nutrition formulas limited to 1050 units per 30 days
80467 B4105 Service is limited to 93 units per 30 days

In addition, the following procedure codes will be added to existing utilization review:

EOB Number Additional Applicable Procedure Codes Utilization Review
80444 B9002, E0776 DME limited to 1 unit per 1825 days

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist you.

Division of Energy Employees Occupational Illness Compensation (DEEOIC):
1-866-272-2682

DEEOIC and DCMWC New Medical Benefits Identification Cards (MBIC) and Pharmacy Cards

The Office of Workers’ Compensation Programs (OWCP) Division of Energy Employees Occupational Illness Compensation (DEEOIC) and Division of Coal Mine Workers’ Compensation (DCMWC) are issuing claimants a new Medical Benefits Identification Card (MBIC). The MBIC will be mailed to you by August 31, 2026.

Once you receive and review your new MBIC, please begin using it immediately for all authorized medical services. Your previous card should be destroyed once you have the new card. This will not affect any of the medical services you currently receive.

As part of this update, Optum is now the Pharmacy Benefits Administrator (PBA) for DEEOIC and DCMWC pharmacy benefits. In addition to your new MBIC, you will receive a separate pharmacy card from Optum in the mail. Once you receive and review your new pharmacy card, please begin using it immediately for prescription drugs related to your accepted condition(s) at your pharmacy. This will not affect any of the prescription medications you currently receive.

If you ever need a new MBIC or have not received your MBIC by August 31, 2026, please contact Acentra toll free at 1-866-272-2682 for the DEEOIC or 1-800-638-7072 for the Coal Mine Workers’ Program.

If you ever need a new pharmacy card or have not received your pharmacy card from Optum by September 10, 2026, please contact Optum toll-free at 1-855-262-3790 for the DEEOIC or 1-855-924-4688 for the Coal Mine Workers’ Program.

Would you like to learn more about DEEOIC and DCMWC’s new pharmacy benefits administrator, Optum? Visit the Employees' Compensation Operations & Management Portal (ECOMP) at: https://deeoic.dol.gov/ for the Energy Program or https://dcmwc.dol.gov/ for the Coal Mine Workers’ Program.

Authorization Change Emails

Effective April 25, 2026, DFEC and DEEOIC providers will receive an email notification whenever the status of an authorization request changes. Notification will be sent to the contact email address on file for the provider associated with the authorization request. Providers need to verify that their contact email address is current. If an update is needed, refer to the Updating Provider Information in the Provider Portal Quick Reference Guide.

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist you.
Division of Energy Employees Occupational Illness Compensation (DEEOIC): 1-866-272-2682
Division of Federal Employees' Compensation (DFEC):1-844-493-1966

OWCP Claimant Portal Travel Bill Submission

Effective March 14, 2026, claimants of the Division of Federal Employees’ Compensation (DFEC) and Division of Energy Employees Occupational Illness Compensation (DEEOIC), as well as their authorized representatives (AREPs), will be able to submit Form 957A/957B travel reimbursement requests through the Claimant Portal. Claimants can access the WCMBP Claimant Portal by registering and logging in through Employees' Compensation & Management Portal (ECOMP).

A new feature Submit/View Travel Bill (Form 957A/B) will appear after logging into the claimant portal. This feature allows claimants and AREPs to:

  • Submit new travel reimbursement requests online and upload supporting documentation
  • View previously submitted travel bills entered through the claimant portal.

For DFEC and DEEOIC, paper forms will no longer be necessary for travel bills when submitted through the claimant portal.

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist you.

Division of Energy Employees Occupational Illness Compensation (DEEOIC):
1-866-272-2682

Division of Federal Employees' Compensation (DFEC):1-844-493-1966

DEEOIC Discontinuing Coverage for HCPCS Code A9901

Effective October 1, 2025, the Division of Energy Employees Occupational Illness Compensation (DEEOIC) will discontinue coverage for HCPCS Code A9901. The Office of Workers’ Compensation Programs’ (OWCP) Fee Schedule rates for Durable Medical Equipment (DME) are all inclusive and include the cost of taxes, shipping, delivery, installation, and setup. As such, A9901 will no longer be covered as a separately billable code. Authorization requests received prior to October 1, 2025, will be reviewed and processed as appropriate.

The Department of Labor regularly revises the OWCP Fee Schedule to reflect economic adjustments, including increases and decreases, as deemed necessary for fees associated with certain HCPCS/Current Procedural Terminology (CPT) codes. These adjustments are made in response to shifts in medical inflation rates, industry trends, and other pertinent factors.

For additional questions or concerns related to the OWCP fee schedule, email OWCP-Public@dol.gov.

How to Submit Overpayments Refunds to DEEOIC

The Division of Energy Employees Occupational Illness Compensation (DEEOIC) does not accept payments made by mail. All providers must submit an adjustment (corrected bill) to ensure that the overpayment created is properly reflected as an account receivable by DEEOIC. Once the account receivable is established, providers will receive a debt letter and instructions on how to service the account receivable from the Treasury's Centralized Receivables Service (CRS). For more information click here and refer to the section titled "How to Submit Refunds of Overpayments".

OWCP adjustment/void processing for DFEC and DCMWC

Effective June 1, 2024, the Office of Workers’ Compensation Programs (OWCP) will implement updates for adjustment/void processing.

For the Division of Federal Employees’ Compensation (DFEC), providers will no longer be allowed to submit bill void transactions.

For the Division of Coal Mine Workers’ Compensation (DCMWC), providers will have the new option to submit bill adjustments using the WCMBP portal.

For the Division of Energy Employees Occupational Illness Compensation (DEEOIC), there are no changes in the current process for adjustment requests.

For questions, contact our Call Center at the applicable phone number listed below, where a Call Center representative will be happy to assist you.

Division of Coal Mine Workers' Compensation (DCMWC):
1-800-638-7072

Division of Energy Employees Occupational Illness Compensation (DEEOIC):
1-866-272-2682

Division of Federal Employees' Compensation (DFEC):
1-844-493-1966

DEEOIC Authorization Updates

Effective August 5, 2023, the Division of Energy Employees Occupational Illness Compensation (DEEOIC) will update the guidelines for submitting the same services within an authorization request.

Providers will not be able to submit an authorization request under the following conditions:

  • The same procedure code on multiple lines, even if the dates of service are not overlapping
  • The same procedure code on multiple lines, even if submitted with a modifier
  • The same revenue center code (RCC) on multiple lines without a different procedure code or with no procedure code

Providers will be able to submit an authorization request under the following conditions:

  • The same procedure code using a date range
  • Separate dates of service under different authorization requests.

For additional information, please contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.

  • Division of Energy Employees Occupational Illness Compensation (DEEOIC): 1-866-272-2682

DEEOIC DME Supplies and Accessories Updates

Effective June 24, 2023, the Division of Energy Employees Occupational Illness Compensation (DEEOIC) will enhance the bill processing of durable medical equipment (DME) supplies and accessories.

A separate DEEOIC Durable Medical Equipment (DME) supplies and accessories authorization is not required for the following conditions:

  • A rental authorization is approved and on file for the related DME, and service dates are within the rental period.
  • A purchase authorization is approved and on file for the related DME, and service dates are within three (3) years of the purchase period.

Providers will not need to submit a correction to an existing DME authorization for the associated supplies or accessories if an approved authorization is on file.

HCPCS Code Description Associated DME Codes
A4615 A4615 Cannula, nasal E1390, E1391, E1392
A4616 Tubing (oxygen), per foot E1390, E1391, E1392
A4620 Variable concentration mask E1390, E1391, E1392
E0441 Stationary oxygen contents, gaseous, one month’s supply = 1 unit E0424, E0425
E0442 Stationary oxygen contents, liquid, one month’s supply = 1 unit E0440
E0443 Portable oxygen contents, gaseous, one month’s supply = 1 unit E0430, E0431
E0444 Portable oxygen contents, liquid, one month’s supply = 1 unit E0434, E0435
E0555 Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter E1390, E1391, E1392
E1353 Regulator E1390, E1391, E1392

In addition, new utilization limits are added to restrict certain DME codes for DEEOIC.

EOB Number - Message Procedure Codes Modifier
80907 - DME supply of nasal cannula is limited to 500 units per 180 days A4615 N/A
80908 - DME supply of oxygen tubing is limited to 1000 units per 180 days A4616 N/A
80909 - DME supply of concentration mask is limited to 40 units per 180 days A4620 N/A
80910 - DME supply of humidifier is limited to 20 units per 180 days E0555 N/A
80911 - DME supply of regulator is limited to 10 units per 180 days E1353 N/A
80912 - DME oxygen system rental is limited to 12 units per 366 days E0424, E0431, E0433, E0434, E0439 RR

For additional information, please contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.

  • Division of Energy Employees Occupational Illness Compensation (DEEOIC): 1-866-272-2682

DEEOIC Claimant MBIC FAQs

Please click here for DEEOIC FAQs regarding myMatrixx and new DEEOIC program pharmacy benefits.

OWCP DEEOIC Authorization Improvement

Effective April 1, 2023, DEEOIC will implement process improvements for General Medical (GM), Transplant, and Transportation (Medical Travel) authorization requests.

Providers will be able to view the line status of an Authorization Request, including the new status of "Processed - Awaiting Decision," when the authorization line is under DEEOIC review. The status will be updated when a decision has been made by DEEOIC.

There is no change to the process of submitting authorization requests via the online Medical Bill Processing Portal or via the authorization request forms.

Please note that if any changes are necessary for an existing General Medical, Transplant, or Transportation authorization, the provider can submit a new Authorization Request.

For additional information, contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.

  • Division of Energy Employees' Occupational Illness Compensation
    (DEEOIC) 1-866-272-2682

OWCP DEEOIC Home Health Procedure Code Updates

Effective December 17, 2022, DEEOIC will implement an update to procedure code Authorization and Billing for Home Health (HH) services for reimbursement using hourly and 15-minute incremented procedure codes. In addition, some per-diem Home Health procedure codes will be retired.

Key impacts:

  • Providers will not be required to submit new or corrected authorization requests for authorizations submitted prior to 12/17/22 with retired codes
  • Authorization requests submitted prior to 12/17/22 with retired per-diem codes will continue to be processed.
  • Providers will be able to submit corrections to update units/amount and dates for service lines with retired procedure codes in Approved status after 12/17/22. However, providers will be unable to add new service lines to the same authorization using a retired code.
  • If the approved authorization on file contains retired code(s), Providers should use the code(s) when billing. For example, if an authorization is approved on 12/16/22 for 6 months of per-diem home health services, then the provider should continue to use the per-diem codes for billing through the end of the approved date span.
  • Providers will receive an RTP reason stating that the “Requested Procedure Code is expired or invalid” if a Home Health authorization request with retired codes is received after 12/17/22.

Please refer to DEEOIC Bulletin No.23-03 for more details.

For additional information, you may contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.

  • Division of Energy Employees' Occupational Illness Compensation (DEEOIC) 1-866-272-2682