Note: For program specific forms including claimant reimbursement forms, please click the respective program link.
Miscellaneous Templates
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Adjustment Request
Other References
Explanation of Benefits (EOB) Reference Guide (08/26/2026): This link provides additional information for common EOB denial reasons.
837 Companion Guide (updated 12/20/25)
Provider Enrollment
OWCP enrollment is going paperless! Select this link for more information.
Provider Enrollment Application (OWCP-1168)
EDI Enrollment Template (For Billing Agent/Clearinghouse Only)
Supporting Document Cover Sheet
How to view PDFs using Adobe Reader
**Opening the following PDFs requires Adobe Reader.**
Provider Enrollment Cover Sheet