OFFICE OF WORKERS' COMPENSATION PROGRAMS

Effective November 1, 2025, the Office of Workers’ Compensation Programs (OWCP) Division of Federal Employees’ Compensation (DFEC) Program implemented a new Utilization Review (UR) for special reports or forms billing.

Billing Utilization Review for special reports or forms allows:

• Up to 12 units per year for services occurring within the first three (3) years from the ill or injured worker’s date of injury.
• Up to 2 units per year for services occurring more than three (3) years from the ill or injured workers’ date of injury.

For questions, you may contact our Call Center at the phone number listed below, where a representative will be happy to assist you.

• Division of Federal Employees' Compensation (DFEC) at 1-844-493-1966

Effective October 1, 2025, the Division of Energy Employees Occupational Illness Compensation (DEEOIC) will discontinue coverage for HCPCS Code A9901. The Office of Workers’ Compensation Programs’ (OWCP) Fee Schedule rates for Durable Medical Equipment (DME) are all inclusive and include the cost of taxes, shipping, delivery, installation, and setup. As such, A9901 will no longer be covered as a separately billable code. Authorization requests received prior to October 1, 2025, will be reviewed and processed as appropriate.

The Department of Labor regularly revises the OWCP Fee Schedule to reflect economic adjustments, including increases and decreases, as deemed necessary for fees associated with certain HCPCS/Current Procedural Terminology (CPT) codes. These adjustments are made in response to shifts in medical inflation rates, industry trends, and other pertinent factors.

For additional questions or concerns related to the OWCP fee schedule, email OWCP-Public@dol.gov.

Effective September 20, 2025, the Office of Workers’ Compensation Programs (OWCP) will require all providers to include both the billing National Provider Identifier (NPI) and taxonomy code when submitting bills for services provided to OWCP ill and injured workers. Providers must ensure that the submitted NPI and taxonomy match the information listed in their OWCP provider file.

Additionally, group practices must include servicing or rendering provider NPI and taxonomy when billing a professional claim. The submitted servicing or rendering NPI and taxonomy must be associated with an active servicing provider in the OWCP provider file.

Bills with mismatched or missing data may be delayed or denied.

For billing assistance, use the resources below to ensure NPI and taxonomy details are entered in the correct fields on the billing claim form.

• Online (Direct Data Entry DDE): Refer to the Enter Bills Online Tutorial for instructions and examples.
• Electronic Data Interchange (EDI): Refer to the 837 Companion Guide for more details.
• Paper: Refer to the Health Insurance Claim Form (OWCP-1500) or the Uniform Health Insurance Claim Form (OWCP-04) instructions for more information.

To prevent delays and denials, providers are encouraged to verify their NPI and taxonomy information prior to submitting bills by accessing the Workers’ Compensation Medical Bill Processing (WCMBP) portal at https://owcpmed.dol.gov/. Providers needing assistance with online access may contact our call center at the phone numbers listed below.

Providers needing to update existing information or add new details may do so either electronically or by submitting a paper form by mail or fax.

• Online: Providers are encouraged to use the WCMBP portal OWCP Medical Bill Processing Portal (https://owcpmed.dol.gov) to review and update servicing provider NPI information. In addition, providers can review and confirm existing provider record information such as license information, contact information, and payment details. Instructions are available at: Updating Provider Information Resource Guide.
  Registration is required for WCMBP portal access. Providers can refer to the Provider Registration for Online Access (Updated 02/05/25) quick reference guide for more information. 
• Mail: Providers can mail the updated Provider Enrollment Application (OWCP-1168) to the following address: 
  Provider Enrollment 
  Department of Labor - OWCP 
  P. O. Box 8312 
  London, KY 40742-8312 
• Fax: Updated Provider Enrollment Application (OWCP-1168) information may also be sent by fax to 888-444-5335.  

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist.

• 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 August 9, 2025, the Office of Workers’ Compensation Programs (OWCP) will require group practices to include the servicing or rendering provider National Provider Identifier (NPI) when billing a professional claim. In addition, group practices must ensure the submitted servicing or rendering NPI is associated with an active servicing provider in the OWCP provider file.

Billing

Please follow the steps below to ensure the servicing NPI is submitted on the bill.

Please note that this requirement is not applicable to providers enrolled as individuals, facilities, or non-medical providers. This requirement is also not applicable to institutional or dental bills.

• Online (Direct Data Entry DDE): Servicing provider information can be entered on professional bills as the rendering provider in the Provider Information section or at the service line. Refer to the Enter Bills Online Tutorial for instructions and examples.
• Electronic Data Interchange (EDI): Servicing provider information is submitted in the Professional claim type Appendix A Loop 2310B for Rendering Provider information. Refer to the 837 Companion Guide for more details.
• Paper: Servicing provider information is entered in Box 24J of the service line on the OWCP 1500 Professional bill form. Refer to the Health Insurance Claim Form (OWCP-1500) instructions for more information.

Provider Enrollment

Professional bills from group practice providers received on or after August 9, 2025, will be denied if submitted without the servicing or rendering NPI, or if the submitted servicing or rendering NPI is not active in the group provider file.

Providers can review and, if needed, update the servicing provider information through the Workers’ Compensation Medical Bill Processing (WCMBP) portal https://owcpmed.dol.gov/, or by paper on the Provider Enrollment Application (OWCP-1168) Form.

• Online: Providers are encouraged to use the WCMBP portal OWCP Medical Bill Processing Portal (https://owcpmed.dol.gov) to review and update servicing provider NPI information. In addition, providers can review and confirm existing provider record information such as license information, contact information, and payment details. Instructions are available at: Updating Provider Information Resource Guide.
  Registration is required for WCMBP portal access. Providers can refer to the Provider Registration for Online Access (Updated 02/05/25) quick reference guide for more information. 
• Mail: Providers can mail the updated Provider Enrollment Application (OWCP-1168) to the following address: 
  Provider Enrollment 
  Department of Labor - OWCP 
  P. O. Box 8312 
  London, KY 40742-8312 
• Fax: Updated Provider Enrollment Application (OWCP-1168) information may also be sent by fax to 888-444-5335.  

For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist.

• 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 August 24, 2024, providers will be required to submit billing NPI when billing for services provided to injured or ill workers for the Office of Workers’ Compensation Programs (OWCP). Professional and institutional bills submitted without the billing NPI after August 24,2024 will be denied.

Note: Providers are strongly encouraged to submit the billing taxonomy.

Billing NPI is not required for OWCP bills submitted from providers such as non-medical vendors, fiscal intermediaries, and non-emergency transportation.

• 33 Contract Medical Consultant
• 41 Contract Nurse
• 43 Taxi
• 44 Public Transportation & Private Transportation
• 53 Non-Medical Vendor
• 55 Vocational Rehabilitation (Training, Tuition and Schools)
• 56 Vocational Rehabilitation Counselor
• 57 Rehabilitation Maintenance
• 58 Assisted Re-employment
• 59 Relocation Expenses
• 61 Second Opinion Contractor
• 80 Pay-to-Intermediary
• 89 Federal Facility (VA Hospital)
• 94 Boarding House
• 95 Insurance Company (Third Party Carriers)
• 97 Billing Agent
• 98 Lien holder

Online Bill Entry (web portal direct data entry): Refer to the Direct Data Entry Billing Tutorial for instructions and examples.

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

Additional Reminders:

For the Health Insurance Claim Form (OWCP-1500):

• Enter billing information in Box 33. Billing provider NPI must be entered in Box 33a. Enter billing taxonomy in Box 33b.
• Be sure to enter your OWCP Provider ID in Box 33 per the form instructions. Do not enter your 9-digit billing OWCP provider ID using Box 33b.
• Enter servicing facility information in Box 32. Enter servicing facility NPI in Box 32a and servicing facility taxonomy in Box 32b.
• Enter servicing (rendering) provider information in Box 24J. Enter servicing (rendering) NPI in the unshaded area of Box 24J and servicing (rendering) taxonomy in the shaded area of Box 24J.

For Uniform Health Insurance Claim Form (OWCP-04):

• Billing provider NPI must be entered in Box 56. Enter billing taxonomy in Box 81CCa.
• Enter attending (servicing) provider NPI in Box 76 and attending (servicing) taxonomy in Box 81CCb.

For ADA Dental Claim Forms:

• Billing provider NPI should be entered in Box 49. Enter billing taxonomy in Box 52a.
• Enter treating (servicing) NPI in Box 54 and treating (servicing) taxonomy in Box 56a.

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

• 837 file segment details for billing provider NPI and taxonomy

  NPI or Taxonomy	837 File Segment
  NPI	Loop – 2010AA Segment – NM1 NM108: Identification Code Qualifier = XX (REQUIRED) NM109: Identification Code Qualifier = NPI (REQUIRED)
  Taxonomy	Loop – 2000A Segment – PRV PRV01: BI (Billing) PRV 01 is required if PRV loop is present PRV02: PXC (Qualifier for taxonomy code) PRV02 is required if PRV01 is present PRV03: Provider taxonomy code PRV03 is required if PRV02 is present Example: PRV✽BI✽PXC✽207Q00000X~

• 837 file segment details for servicing provider NPI and taxonomy

  Claim Type	Location	NPI or Taxonomy	837 File Segment
  Professional/Dental	Header	NPI	Loop: 2310B — RENDERING PROVIDER NAME Segment: NM1✽82 NM108: Identification Code Qualifier = XX NM109: NPI NM109 is required when NM108 is available Example : NM1✽82✽1✽DOE✽JANE✽C✽✽✽XX✽1234567804~
  		Taxonomy	Loop: 2310B - RENDERING PROVIDER SPECIALTY INFORMATION Segment: PRV PRV01: PE (Performing) PRV01 is required if PRV loop is present PRV02: PXC (Qualifier for taxonomy code) PRV02 is required if PRV01 is present PRV03: Provider taxonomy code PRV03 is required if PRV02 is present Example: PRV✽PE✽PXC✽1223G0001X~
  	Line	NPI	Loop: 2420A — RENDERING PROVIDER NAME Segment: NM1✽82 NM108: Identification Code Qualifier = XX NM109: Identification Code Qualifier = NPI NM109 is required when NM108 is available Example: NM1✽82✽1✽DOE✽JANE✽C✽✽✽✽XX✽1234567804~
  		Taxonomy	Loop: 2420A — RENDERING PROVIDER SPECIALTY INFORMATION Segment: PRV PRV01: PE (Performing) PRV01 is required if PRV loop is present PRV02: PXC (Qualifier for taxonomy code) PRV02 is required if PRV01 is present PRV03: Provider taxonomy code PRV03 is required if PRV02 is present Example: PRV✽PE✽PXC✽208D00000X~
  Institutional	Header	NPI	Loop: 2310A - ATTENDING PROVIDER NAME Segment: NM1✽71 NM108: Identification Code Qualifier = XX NM109: Identification Code Qualifier = NPI NM109 is required when NM108 is available Example: NM1✽71✽1✽JONES✽JOHN✽✽✽✽XX✽1234567891~
  		Taxonomy	Loop: 2310A - ATTENDING PROVIDER SPECIALTY INFORMATION Segment: PRV PRV01: AT (Attending) PRV01 is required if PRV loop is present PRV02: PXC (Qualifier for taxonomy code) PRV02 is required if PRV01 is present PRV03: Provider taxonomy code PRV03 is required if PRV02 is present Example: PRV✽AT✽PXC✽208D00000X~

Messaging will appear on your remittance voucher to alert you of any NPI or taxonomy information that is missing or does not match your provider file.

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 August 24, 2024, the Division of Coal Mine Workers’ Compensation (DCMWC) will initiate a recoupment process in conjunction with the Treasury Department to recover outstanding provider debts owed to the Federal Black Lung Program.

Currently, the Federal Black Lung Program automatically recoups the full amount owed from current and future provider payments until the debt is paid in full.

On or after August 24, 2024, if the debt remains unpaid after 120 days from the Remittance Voucher (RV) overpayment notice, the account balance will be sent to the Centralized Receivables Service (CRS) for collections.

If you have an inquiry or concern regarding the Remittance Voucher (RV) overpayment notice, please submit the RV overpayment notice and all supporting documentation to the following address:

Division of Coal Miner Workers’ Compensation (DCWMC)
General Correspondence
P.O. Box 8307
London, Kentucky 40742-8307

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

The Division of Energy Employees Occupational Illness Compensation (DEEOIC) does not accept payments made by mail. All providers must submit an adjustment (corrected bill) to ensure that the overpayment created is properly reflected as an account receivable by DEEOIC. Once the account receivable is established, providers will receive a debt letter and instructions on how to service the account receivable from the Treasury's Centralized Receivables Service (CRS). For more information click here and refer to the section titled "How to Submit Refunds of Overpayments".

Effective June 1, 2024, the Office of Workers’ Compensation Programs (OWCP) will implement updates for adjustment/void processing.

For the Division of Federal Employees’ Compensation (DFEC), providers will no longer be allowed to submit bill void transactions.

• Providers wishing to return funds have the option to mail the refund along with an Adjustment Request template as the coversheet.
• For assistance in viewing the PDF, please select this link: How to view PDFs using Adobe Reader

For the Division of Coal Mine Workers’ Compensation (DCMWC), providers will have the new option to submit bill adjustments using the WCMBP portal.

• You may refer to the Bill Adjustment tutorial for further information.

For the Division of Energy Employees Occupational Illness Compensation (DEEOIC), there are no changes in the current process for adjustment requests.

For questions, contact our Call Center at the applicable 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

Effective June 1, 2024, the Office of Workers’ Compensation Programs (OWCP) will implement an enhancement to prevent overpayments created from denied adjustment requests. 

On or after June 1, 2024, if an adjustment is submitted on a bill that has already been paid but subsequently denied in its entirety, the denial will be reflected on the Remittance Advice (RV), and the bill inquiry screen will display a status of denied.

In such cases, when providers seek payment reconsideration for the denied bill, it is essential to submit the adjustment request using the previously paid bill. This ensures that the adjustment is correctly associated with the original bill and facilitates the review process for payment reconsideration.

Providers are encouraged to use the Bill Inquiry and Bill Adjustment features of the Workers’ Compensation Medical Bill Processing (WCMBP) Portal https://owcpmed.dol.gov/ to review bill history. 

For questions, contact our Call Center at the applicable 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

Effective April 20, 2024, the Office of Workers’ Compensation Programs (OWCP) Division of Federal Employees’ Compensation (DFEC) will implement a recoupment process for providers’ outstanding debts.

Providers may have partial or full payment amounts applied to existing overpayments until the full overpaid amount is satisfied and all debts are closed.

Providers can refer to the remittance voucher (RV) for overpayment summary, recoupment summary, and recoupment details. A Remittance Voucher User Guide is available for an explanation on how to read the sections in the RV.

In addition, providers can also use the View Accounts Receivable feature after logging in to the Workers’ Compensation Medical Bill Processing (WCMBP) portal OWCP Connect (dol.gov). Providers can filter or sort results on the Accounts Receivable (AR) List to identify overpayment history, verify remaining debt balance owed, and review accounts receivable details by clicking on the AR Number.

Annual 1099s balances will be updated to reflect all recoupments.

For additional information, contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.

Division of Federal Employees' Compensation (DFEC):1-844-493-1966