We are excited to announce a “NEW” Provider Manual located on the Workers’ Compensation Medical Bill Processing (WCMBP) portal.

Based on the feedback that we have received from the provider community, we developed a manual that offers important information on billing, authorizations, enrollment, policies, and eLearnings. This new Provider Manual will serve as an all-inclusive resource to ease gaining access to answers about the WCMBP system and services, such as how to maintain provider license, where to submit authorizations, or how to understand bill adjustments and appeals.

Please visit the Featured Content section of the portal website at https://owcpmed.dol.gov/portal/ for more information.

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 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

Effective October 28, 2023, the Office of Workers’ Compensation Programs (OWCP) will begin a review process to ensure servicing provider license or certification information is active and up to date.

Providers enrolled as a group practice are required to identify servicing (medical) providers during the enrollment process. This new process will send correspondence to the group if any servicing provider license information expires in 60 or 30- days. Groups will be required to update servicing provider license information if the license expiration is forthcoming. If that action is not completed, then the servicing provider record will be terminated from the group. Please note this will not terminate the group’s OWCP provider ID.

Providers can review and update servicing provider information via the Workers’ Compensation Medical Bill Processing (WCMBP) portal at https://owcpmed.dol.gov/ or via paper on the OWCP-1168 located on the Forms and References page.

Online: We encourage providers to use the WCMBP Portal to review and update servicing provider license information, including license expiration date. Please upload a current copy of the professional license or certification for the servicing provider. Servicing provider (medical provider) information, such as SSN, NPI, name, taxonomy and license information are found on "Step 10 – Add Servicing Provider Information." of the online enrollment process.

In addition, providers will be able to review and confirm existing provider record information, such as group NPI, provider contact information, and payment details.

Log in to your account via our website: OWCP Medical Bill Processing Portal (https://owcpmed.dol.gov). We have provided detailed instructions on how to review and verify your OWCP record in the Updating Provider Information Resource Guide. Registration is required for online access. Please refer to the Legacy and New Providers Initial Access and Online Billing (dol.gov) Quick Reference Guide for more information.

Mail: Mail the updated OWCP-1168 Provider Enrollment application along with the Provider Enrollment Cover Sheet and your OWCP Provider ID to the following address:

Provider Enrollment
Department of Labor - OWCP
P. O. Box 8312
London, KY 40742-8312

Fax: Send the updated OWCP-1168 via fax with the Provider Enrollment Cover Sheet and your OWCP Provider ID to 888-444-5335.

The Provider Enrollment Cover Sheet is located on the Forms and References page.

For additional information, please contact our Call Center, 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

OWCP will host Virtual Help Session on Friday September 8, 2023, from 3:00 - 4:00 pm ET. Providers will have an opportunity to ask general questions regarding the medical bill processing system including enrollment, authorizations, billing, and web portal features. Providers will be able to gain insight on helpful information, available tools and to request further assistance.

During this open forum, attendees are not obligated to stay for the full hour.

If you are interested in joining, please click this link to register. Attendee name and email are required to register for the event. Once entered, you will receive an invitation with a link to join the event.

Tips for the Virtual Help Session call:

• Please refrain from referencing specific claimant information or disclosing other protected health information (PHI) during the call
• Participants can participate via voice or chat during the session
• The help session will be memorialized via recording and/or transcription to ensure all questions and issues are captured
• Providers are not required to attend for the duration of the call

We welcome the opportunity to connect with you!

If you need any technical assistance prior to or during the call, please contact WCMBP_TRAINING@cns-inc.com for help.

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

OWCP will host Virtual Help Session on Friday August 4, 2023, from 11:00 am - 12:00 pm ET. Providers will have an opportunity to ask general questions regarding the medical bill processing system including enrollment, authorizations, billing, and web portal features. Providers will be able to gain insight on helpful information, available tools and to request further assistance.

During this open forum, attendees are not obligated to stay for the full hour.

If you are interested in joining, please click this link to register. Attendee name and email are required to register for the event. Once entered, you will receive an invitation with a link to join the event.

Tips for the Virtual Help Session call:

• Please refrain from referencing specific claimant information or disclosing other protected health information (PHI) during the call
• Participants can participate via voice or chat during the session
• The help session will be memorialized via recording and/or transcription to ensure all questions and issues are captured
• Providers are not required to attend for the duration of the call

We welcome the opportunity to connect with you!

If you need any technical assistance prior to or during the call, please contact WCMBP_TRAINING@cns-inc.com for help.

Effective July 15, 2023, the Office of Workers’ Compensation (OWCP) Division of Federal Employees’ Compensation (DFEC) Program is implementing a new utilization review (UR) for hearing aid services and supplies.

Please refer to the FECA Circular NO. 23-08 for more information. FECA Circulars | U.S. Department of Labor (dol.gov)

New limits have been defined for DFEC hearing aid supplies and services.

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

The U.S. Department of Labor (DOL) has contracted with myMatrixx®, an Express Scripts Company, to provide Pharmacy Benefit Management (PBM) services to the Office of Workers’ Compensation Programs (OWCP) Division of Energy Employees Occupational Illness Compensation (DEEOIC) and Division of Coal Mine Workers’ Compensation (DCMWC).

All DEEOIC and DCMWC claimants should now have new Medical Benefit Identification Cards (MBIC) and access to myMatrixx®’s nationwide network of participating pharmacies and durable medical equipment. If you are a DEEOIC or DCMWC claimant and still need a new MBIC, please contact the CNSI customer service toll-free number at 1-800-638-7072 for DCMWC or at 1-866-272-2682 for DEEOIC.

Claimants can search for participating pharmacies on the web or by calling myMatrixx®:

• DCMWC - https://blacklung-pharmacy.dol.gov/ or 1-877-880-9215
• DEEOIC - https://energyworkers-pharmacy.dol.gov/ or 1-866-686-9592

As of June 5, 2023, pharmacies have been required to submit their pharmacy transactions to myMatrixx® for payment. Pharmacy providers are encouraged to join the myMatrixx® network and can enroll at www.esiprovider.com.

OWCP will host Virtual Help Session on Friday July 7, 2023, from 5:00 - 6:00 pm ET. Providers will have an opportunity to ask general questions regarding the medical bill processing system including enrollment, authorizations, billing, and web portal features. Providers will be able to gain insight on helpful information, available tools and to request further assistance.

During this open forum, attendees are not obligated to stay for the full hour.

If you are interested in joining, please click this link to register. Attendee name and email are required to register for the event. Once entered, you will receive an invitation with a link to join the event.

Tips for the Virtual Help Session call:

• Please refrain from referencing specific claimant information or disclosing other protected health information (PHI) during the call
• Participants can participate via voice or chat during the session
• The help session will be memorialized via recording and/or transcription to ensure all questions and issues are captured
• Providers are not required to attend for the duration of the call

We welcome the opportunity to connect with you!

If you need any technical assistance prior to or during the call, please contact WCMBP_TRAINING@cns-inc.com for help.

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.

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

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

Effective June 24, 2023, the DFEC and DEEOIC Programs for the Office of Workers’ Compensation Programs (OWCP) will enhance bill processing to prevent denials related to accepted conditions if an approved authorization is on file for the billed service.

No changes are necessary for submitting authorization requests or bills. All approved authorizations will need to match the billing OWCP Provider, OWCP Claimant, date(s) of service, and procedure code. In addition, the DEEOIC program will require the billed diagnosis code to match the authorized diagnosis code.

The following are updates specifically for the DEEOIC program:

• New EOB denial reason 90972 will post if a billed diagnosis code does not match the diagnosis code on the approved authorization.
  • The following new EOB denial reason will appear on the Remittance Voucher (RV): “Matching authorization is available, but dx on bill is different from the approved authorization”
• New authorization Edit 61342 will post if an authorization is submitted with a non-payable diagnosis code.

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