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:

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

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

Effective January 10, 2025, the Office of Workers’ Compensation Programs (OWCP) will require OWCP claimant information on all bill submissions.

Professional, institutional, and dental bills must include either the claimant’s OWCP case number or their Social Security Number (SSN) and date of birth (DOB). If FECA bills are submitted with the SSN and DOB, then the claimant’s date of injury (DOI) must be included. Click here to view the Filling Out a Claim Form tips document for more information.

If bills are received without the claimant’s OWCP case number or SSN and DOB, then the bills will be returned to the provider.

OWCP’s Case Lookup feature is available on the Workers’ Compensation Medical Bill Processing (WCMBP) portal. Refer to the following tutorial for instructions on how to use the case lookup tool: Verify Claimant Eligibility (updated 05/23/2024).

Billing instructions are available in the following resources:

Online Bill Entry (Web Portal Direct Data Entry): Refer to the Enter Bills Online tutorial.

Mail (paper form): Refer to the billing instructions for each claim form by visiting the OWCP Forms and References page, selecting the OWCP Program (DCMWC, DEEOIC, or DFEC), and then selecting the OWCP-1500, OWCP-04, or ADA Dental forms.

EDI (HIPAA 837s): Refer to the updated 837 Companion 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