- How is COVID-19 impacting the processing of OWCP medical bills?
Due to the COVID-19 pandemic and the desire to follow social distancing, OWCP is taking steps to move toward a fully-electronic medical bill processing system. Currently, we continue to accept paper documents but providers who continue to submit paper documents may experience processing delays. Hardcopy bills and documents require a team of individuals to physically report to our mailroom facility to open, scan, and transmit these documents to our bill processor for payment. These steps, under the current conditions of the pandemic, may cause delays in processing. To avoid any delay, OWCP is asking that medical providers submit medical bills/attachments electronically. Providers will experience much faster processing times with electronic submissions and our online notification of any bill errors further reduces processing time.
- How can I avoid delays for processing of medical bills?
OWCP is asking that medical providers submit medical bills/attachments electronically. Providers will experience much faster processing times with electronic submissions and our online notification of any bill errors further reduces processing time.
- Will the government be issuing special diagnostic codes for COVID-19 patients?
OWCP has not created any special diagnostic codes for COVID 19. Providers should bill with the most appropriate billing codes for diagnostic treatments and services for COVID-19 for the work-related injury or illness.
- Has the government created any Current Procedural Terminology (CPT) codes for COVID-19 laboratory testing?
OWCP has not created any special codes for COVID 19 laboratory testing. Providers should bill with the most appropriate billing codes for laboratory testing for the work-related injury or illness.
- Will there be handouts and training material available for providers and claimants that are unable to attend the webinars?
The material presented in the webinars will be uploaded onto the WCMBP web portal after each webinar. Please access the Training and Tutorials page for any training or webinar materials.
- How can a provider submit bills to CNSI after 4/27/2020?
CNSI will accept paper bills and those submitted via Electronic Data Interchange (EDI) and Direct Data Entry (DDE). Providers can submit bills via mail, EDI or online through the Provider Portal. Additional information can be found on the Bills Submission page.
- Does CNSI have an electronic payer ID per program?
The electronic payer ID’s per program have not changed during the transition.
• DFEC: 77044
• DEEOIC: 77103
• DCMWC: 77104
- I have received emails to an email address that I no longer use for billing services. How do I update my contact information, including my email address?
Your provider profile can be updated by submitting a Provider Enrollment application with your updated information or by logging in and accessing your provider portal online.
- What is OWCP Connect?
It is the mechanism by which all users are authenticated. You will need to register with OWCP Connect first before you can get access to the new WCMBP system.
- If we were enrolled with OWCP, will our Provider Number change?
No. If your OWCP Provider ID was active with the legacy contractor Conduent, it has transferred over to the new WCMBP system.
- How will we learn about the new WCMBP system?
There are webinars and training available on our web portal to assist you with the transition. Please access the Training and Tutorials page for any training or webinar information or materials.
- I had access to the old provider portal. How will I get access to the new provider portal?
Providers who had access to the Conduent portal should have received two separate letters via postal mail before the new WCMBP system launched: The first was a Welcome Letter with a temporary ID and information on how to access the new WCMBP system. The second was a Registration Letter that included a temporary key (password) and information on how to register in the new WCMBP system.
- If I used to submit electronic bills through P2P, will I be able to continue to do this with the new WCMBP system?
The new WCMBP system will not accept P2P as a method for electronic bill submission. EDI transactions can be submitted via a web batch, secured FTP batch, or by a billing agent/clearinghouse. Please register to attend one of the EDI webinars on this WCMBP web portal or check our Training and Tutorials page.
- I am a DFEC provider. Do I need to submit an authorization request for telehealth services?
Authorization requirements for DFEC telehealth bills are dependent on Provider Type and the Procedure Codes. If authorization is required, your bills must be submitted with the necessary modifiers. Please utilize the IVR for eligibility inquiries to determine if authorization is required. See the DFEC bulletin https://www.dol.gov/agencies/owcp/dfec/regs/compliance/DFECfolio/FECABulletins/FY2020-2024 for more information. Go to this page on the portal for the DFEC Forms and References and select Medical Authorization - General Medical from the Authorization Templates list. Please utilize the IVR or the provider portal for eligibility inquiries.
- CNSI indicated that a welcome letter and security letter will be sent with instructions to register for access into the new WCMBP system, however, I haven’t received any letters?
If you are an active legacy provider that was active in the Conduent system or a new provider who enrolled via paper, and you did not receive any letters, please contact our call center. The number to the call center can be found on the WCMBP web portal’s Contact Us page.
- I received notification that my provider license will be expiring soon. What do I need to do to update my information?
You have 30 days from the time of receiving notification to update your information. Please update your license/certification information with the updated license expiration date online via the WCMBP provider portal and submit/upload your renewed or current license/certification from the issuing agency. If you have any questions, please contact CNSI to speak to a customer service team member at the OWCP program’s phone numbers listed below:
- Division of Energy Employees' Occupational Illness Compensation (DEEOIC) Program: 1-866-272-2682
- Division of Federal Employees' Compensation (DFEC) Program: 1-844-493-1966
- Division of Coal Mine Workers' Compensation (DCMWC) Program: 1-800-638-7072
- What should I do if my enrollment application was “returned to provider” (RTP)?
If an enrollment application is “returned to provider” (RTP) for any reason, such as incomplete or missing information, Providers may update the same application with the necessary modifications and resubmit for processing. The ability to modify RTP-ed applications was made effective March 2021. Please refer to the Quick Reference Guide, Provider Enrollment eLearning, or Provider Enrollment Tutorials for detailed step-by-step instructions.
- What do I need to do if my provider licensed has expired?
If your license has expired, you must re-enroll in the OWCP System, however you will maintain your same OWCP Provider ID. Once you have logged into the system, please verify or update any information required to reinstate your profile. For step by step instructions, please refer to the quick reference guide under “Updating Provider License in the Provider Portal.”
- I can see bills up to 7 years old in the WCMBP system. How can I get access to see bills older than 7 years?
Bill history data is archived after 7 years from the date the bill was paid. Please contact the call center for access to any archived bill data. Provide the call center team member with the appropriate information to pull up the requested bills, such as Claimant ID, Date of Service, OWCP Provider ID, or any other applicable data. A team member will get back to you in 2-3 business days with the requested bill data.
- I submitted my authorization on the old template and never received a response. What should I do?
During this time of transition, we are experiencing delays in processing authorization requests, bills and new provider enrollments that have been submitted on old forms/templates or have missing or invalid information required for processing. Please resubmit the authorization request using the current authorization template at https://owcpmed.dol.gov/portal/resources/forms-and-references/general, select the respective program in the dark gray bar, and select one of the authorization templates.
- Where do I find the new authorization templates?
The new authorization templates can be found on the WCMBP Portal at: https://owcpmed.dol.gov/portal/resources/forms-and-references/general. Select the respective program in the dark gray bar on that page, and click the link of the authorization type that you want to submit.
- Do I have to be registered to access the forms on the portal?
You do not have to be registered to access the authorization templates. The new authorization templates are available when you view the WCMBP Portal at: https://owcpmed.dol.gov/portal/resources/forms-and-references/general. Select the respective program in the dark gray bar, and select one of the authorization templates.
- How do I submit an authorization request?
Authorization requests may be submitted via Direct Data Entry using the WCMBP Portal, or by Fax at: 1-800-215-4901 (DFEC) or 1-800-882-6147 (DEEOIC). Direct Data Entry is the recommended method as it provides real time editing and speeds the overall authorization process.