OWCP Bill Processing Improvement for Reactivated Providers

Effective February 22, 2025, the Office of Workers’ Compensation Programs (OWCP) will automatically reprocess denied bills for services provided by reactivated OWCP providers during their inactive status.

If the OWCP provider number submitted on a bill is not active for the billed dates of services, then the provider should submit the required documentation to reactivate their provider file. When the provider is reactivated, the denied bills will be reprocessed if the following conditions apply:

  • The denial occurred within the past six months from reactivation
  • The denial is for Explanation of Benefits (EOB) Edit 50424
  • No other denial EOB edits applied to the bill

Please note that additional denied EOB edits may be posted during reprocessing. Providers are encouraged to use to the EOB Reference Guide to find additional steps and resources to review and rectify the EOB bill denials. Please visit https://owcpmed.dol.gov/portal/provider to view the guide.

For questions, contact our Call Center at the 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

OWCP Utilization Review Edits for Services on the Same Day

On January 11, 2025, the Office of Workers’ Compensation Programs (OWCP) will implement new utilization review edits to limit billing for services performed on the same date of service.

This utilization review will apply to three OWCP Programs: DCMWC, DEEOIC, and DFEC.

The EOB descriptions for each edit will appear on the remittance voucher (RV) with the following verbiage:

Coverage/program guidelines were exceeded: Exceeds number/frequency approved/allowed within the time period.

New limits have been defined for the following services:

EOB Number Applicable Procedure Codes Utilization Review
80432 98970, 98971, 98972 Assessment is allowed once per day, per same servicing provider NPI
80434 99441, 99442, 99443 Telephone evaluation is allowed once per day, per same servicing provider NPI
80435 99374, 99375 Home health agency service is allowed once per day, per same servicing provider NPI
80436 99377, 99378 Hospice service is allowed once per day, per same servicing provider NPI
80437 99379, 99380 Nursing facility is allowed once per day, per same servicing provider NPI
80438 98966, 98967, 98968 Telephone assessment is allowed once per day, per same servicing provider NPI
80439 99421, 99422, 99423 Online digital evaluation is allowed once per day, per same servicing provider NPI
80440 99446, 99447, 99448, 99449 Interprofessional EHR assessment is allowed once per day, per same servicing provider NPI
80441 99231, 99232, 99233 Subsequent hospital inpatient or observation care service is allowed once per day, per same servicing provider NPI
80442 99234, 99235, 99236 Hospital inpatient or observation care service is allowed once per day, per same servicing provider NPI

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

OWCP update for OWCP-1500 Bill Attestation

Effective November 16, 2024, OWCP providers submitting bills online are required to acknowledge an attestation statement for each professional bill.

After entering your bill through the WCMBP portal and selecting the Submit Bill button, a checkbox will appear with corresponding language in the Submitted Professional Bill Details alert window. Providers must review and select the checkbox to acknowledge the attestation statement before submitting the professional bill. This acknowledgement is required only for professional bills at this time.

If you do not see the alert window after selecting the Submit Bill button, be sure to allow pop-ups on your internet browser for the WCMBP portal https://owcpmed.dol.gov/, then go to the Retrieve Saved Bills option on the portal menu to access your bill.

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