For Medical Providers

Useful Links

Updates

There are new Helpful Hints to improve your experience on the WCMBP Web Portal:

Did You Know?

When contacting the call center, please be sure to have your 9-digit OWCP provider ID and the claimant’s case number ready to help with your call.

Did you know you can add or update billing agency information on Step 8 of your enrollment application or modification? Be sure to see the Quick Reference Guide Updating Provider Information (dol.gov) for more details. A billing agency must be enrolled with OWCP in order to bill on behalf of a provider. Click here to visit the Forms and References page to access the Billing Agent/Clearinghouse Enrollment Template.

Finding DFEC Case Number: Please contact the call center if you need assistance confirming the claimant’s case number. Division of Federal Employees’ Compensation (DFEC): 1-844-493-1966

Submitting Medical Documentation: See our Provider Tips for Services for Accepted Conditions.pdf (dol.gov) for links to submit supporting documentation directly to a claimant’s case file.

DFEC Short Form Closure: Simple/minor CA-1 traumatic injuries with no work time lost may be covered under an administrative code to cover medical expenses up to $1500 or 180 days from the date of injury. If the amount exceeds the established threshold, the claimant’s case will go to formal adjudication. Providers can submit supporting documentation to U.S. Department of Labor, OWCP/DFEC, PO Box 8300, London, KY 40742-8300. Refer to the DFEC Procedure Manual | U.S. Department of Labor (dol.gov) for more information.

Implant Invoices: If an Outpatient bill is submitted with RCC 0274 – 0279 (implants), the manufacturer invoice and itemized statement are required to properly price the implant(s). The manufacturer invoice cannot be dated after the surgical procedure or greater than 6 months before the surgery. Implants are not separately payable for an Inpatient stay. Please refer to the OWCP Fee Schedule for more details regarding implant pricing.

Covered Procedure Codes: Providers can review list of covered procedures codes by accessing the “CPT, HCPCS, ADA & OWCP Codes with RVU and Conversion Factors” file from the OWCP Fee Schedule. Please be sure to acknowledge the disclaimers and select the appropriate year before accessing the file.

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