Effective August 9, 2025, the Office of Workers’ Compensation Programs (OWCP) will limit the procedure codes that can be submitted on an authorization request, based on the authorization type.

This change is applicable to both the Division of Energy Employees Occupational Illness Compensation (DEEOIC) and Division of Federal Employees' Compensation (DFEC).

Providers submitting authorizations requests through the Workers’ Compensation Medical Bill Processing (WCMBP) portal will now receive an error message if the requested procedure code is not applicable for the selected authorization type. The error message will guide the provider by indicating the correct authorization type required for the procedure code.

Providers submitting authorization requests by mail or fax will receive a Returned to Provider (RTP) letter if the requested procedure code is not applicable for the authorization type. The RTP letter will include the reason for return and specify the correct authorization type required for the submitted procedure code.

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

Effective August 9, 2025, the Office of Workers’ Compensation Programs (OWCP) will require group practices to include the servicing or rendering provider National Provider Identifier (NPI) when billing a professional claim. In addition, group practices must ensure the submitted servicing or rendering NPI is associated with an active servicing provider in the OWCP provider file.

Billing

Please follow the steps below to ensure the servicing NPI is submitted on the bill.

Please note that this requirement is not applicable to providers enrolled as individuals, facilities, or non-medical providers. This requirement is also not applicable to institutional or dental bills.

• Online (Direct Data Entry DDE): Servicing provider information can be entered on professional bills as the rendering provider in the Provider Information section or at the service line. Refer to the Enter Bills Online Tutorial for instructions and examples.
• Electronic Data Interchange (EDI): Servicing provider information is submitted in the Professional claim type Appendix A Loop 2310B for Rendering Provider information. Refer to the 837 Companion Guide for more details.
• Paper: Servicing provider information is entered in Box 24J of the service line on the OWCP 1500 Professional bill form. Refer to the Health Insurance Claim Form (OWCP-1500) instructions for more information.

Provider Enrollment

Professional bills from group practice providers received on or after August 9, 2025, will be denied if submitted without the servicing or rendering NPI, or if the submitted servicing or rendering NPI is not active in the group provider file.

Providers can review and, if needed, update the servicing provider information through the Workers’ Compensation Medical Bill Processing (WCMBP) portal https://owcpmed.dol.gov/, or by paper on the Provider Enrollment Application (OWCP-1168) Form.

• Online: Providers are encouraged to use the WCMBP portal OWCP Medical Bill Processing Portal (https://owcpmed.dol.gov) to review and update servicing provider NPI information. In addition, providers can review and confirm existing provider record information such as license information, contact information, and payment details. Instructions are available at: Updating Provider Information Resource Guide.
  Registration is required for WCMBP portal access. Providers can refer to the Provider Registration for Online Access (Updated 02/05/25) quick reference guide for more information. 
• Mail: Providers can mail the updated Provider Enrollment Application (OWCP-1168) to the following address: 
  Provider Enrollment 
  Department of Labor - OWCP 
  P. O. Box 8312 
  London, KY 40742-8312 
• Fax: Updated Provider Enrollment Application (OWCP-1168) information may also be sent by fax to 888-444-5335.  

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

• 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