To apply for authorization, you must: Sign up to use the NYS Workers' Compensation Board Medical Portal and/or login with the credentials that have been assigned to you; Complete the required training specific to your profession; We focus on the health and safety of our employees while striving to provide a high level of case management services. Get the latest insights on everything from claims management to company culture. California Medical Provider Network Search. Welcome to the Provider Support Center. Our downsized office staff is working in two shifts in order to maximize social distancing and ensure that checks and mail are being processed timely and accurately. Health Care Providers Physicians, PAs, NPs and other types of Board-authorized providers as well as dentists, audiologists and optometrists. NCA Comp Remember, all medical bills relating to your on-the-job injury are the responsibility of your workers' compensation insurance through NYSIF (not your health insurance). View the latest provider presentations for updates on several improvement initiatives underway here at the Board. You must inform HRSS Leaves Administration of your extended absence from work and also when you are ready to return to work from your extended absence. Our credentialing process ensures you are part of a quality network where in-network referrals can be trusted. Workers' Compensation | Office of Employee Relations 150 Broadway 1. For your information, I have enclosed copies of the Department's Workers' Compensation Preferred Provider Organization (PPO) Application, (PDF, 50KB, 4pg.) View information on Medical Treatment and Impairment Guidelines, Treatment Authorization Requests and diagnostic testing networks. Claims services include: Sophisticated analytics to support the adjuster's expertise as early as First Notice of Loss and to aid in controlling costs and delivering optimal outcomes Training Requirements for Provider Authorization To find an authorized provider, visit the WCB website at wcb.ny.gov or call 1-877-632-4996. Our state of the art workers compensation and disability cost mitigation efforts lead the self-insurance industry in savings for our clients. Workers' Compensation Claims | Erie Insurance Compensation Direct Deposit Payment Option page, Personal information about the injured employee, such as name, address, phone number, social security number and date of birth, Occupation, hire dates, current position and wage information, Date and time of the injury and when was the accident reported to you and by whom (name of the person), Type of injury, part of the body injured, cause of accident, where did the injury occur and where was the injured employee treated, Helping your injured employee get medical treatment, Working closely with you and the medical provider to coordinate your employees safe and timely return to work, Working with you to identify modified and transitional duties that your employee can perform as soon as he or she is medically able. Office of Workers' Most of our claims professionals are working from home with full access to all aspects of their work, phone and emails. For an optimal site experience, we recommend using a different browser. If you would submit bills through either Billing Agents or Clearinghouses, please have OWCP Provider ID of your billing agent/clearinghouse ready before you start enrollment or add billing agent/clearinghouse with your existing enrollment. With Erie Insurance, you have access to a risk control services and a consultant who can evaluate the potential risks your business faces and then recommend measures you can take to help reduce those risks. Our comprehensive credentialing process ensures you are part of a network where in-network referrals can be trusted. All requests must arrive to FCS electronically, from New York based and out of state treating physicians. Step 2. Since 1991, we have advanced and continuously evolved to serve different types of clients around the New York State area and across the United States. Begin the enrollment process by selecting your enrollment type and entering your data through an online enrollment wizard. Our propriety network is comprised of providers in all specialties across the country. OnBoard: Limited Release, the first phase of the Board's new online information system, is now available! Physician applicants for authorization to treat injured workers must demonstrate that they qualify for a specialty rating. Online Medical Provider Portal - NYSIF Overview New User Access and Administration Department of Labor, 200 Constitution Ave NW Workers compensation is state regulated and some states have legislation that requires online access to listings for healthcare providers. Join our growing team and make an impact. Medical Providers - NYSIF Our nurses add an extra level of medical expertise to help ensure you (and your employee) receive the support that you need throughout the claims process. This Formulary will take effect in two Phases. Our goal is to better serve our medical provider community, serve consistent communication regarding our medical bill process, and grant flexible access to medical bill information. Get Started in the New Medical Bill Process System. Our team of provider relations specialists work with practitioners and providers to verify that they meet the standards of professional licensure and certification. The key to assuring high quality services during this pandemic is the fact that our technological capabilities far surpass industry standards and can easily accommodate these adjustments without interruption to you. Please refer to theQuick Guide on how to add/associate additional users under existing provider. Save the Date - 2023 Workers' Compensation Forum and Annual Meeting. Were committed to returning injured employees to good health and back to work as soon as possible. In other states, like Wisconsin, Illinois, Maryland and the District of Columbia, voluntary panels are offered to employees, but theyre not required for work injuries. When that happens, well be there to help you. This video describes the NYS Workers' Compensation Board Medical Portal and how medical providers can sign up to access it. Provider Relations | CorVel Completion of a residency accredited by CanERA (Canadian Excellence in Residency Accreditation) or one of its recognized historic residency accreditation equivalents (e.g., the Royal College of Physicians and Surgeons of Canada) that would satisfy the training requirements of a member board of the American Board of Medical Specialties or American Osteopathic Association. When a catastrophic or serious injury occurs, ERIE's nursing team will contact the hospital and act as a liaison between all parties throughout the claims process. Workers Compensation Claims Services | Chubb The set up process has been streamlined to facilitate bringing the PPO to your workplace. Workers Compensation and Disability Self-Insurance Solutions, IMPORTANT NOTICE TO ALL EMPLOYERS WITH ON-LINE CLAIMS ACCESS. Our pharmacy program provides access to our national pharmacy network of more than 67,000 pharmacies. Claimant Network Benefits - NYSIF For an optimal site experience, we recommend using a different browser. Overview OnBoard is an application that is accessed from the Medical Portal. CorVel is an industry leader in workers' compensation solutions. Pharmacy (DCMWC, DEEOIC) FCS is optimistic that our new normal work life will be temporary. Otherwise, please contact your organization's administrator to sign up. The Provider Support Center offers self-service features to help manage claims more effectively and direct you to the . Please refer to theQuick Guide on how to add new providers under one OWCP Connect ID. Liberty Mutual Insurance and Helmsman Management Services, 2013 Liberty Mutual Insurance and Helmsman Management Services, Erie Insurance Group has earned A.M. Best's rating of A+ (Superior). Reconsideration / Corrected Bill Instructions, View medical bill status for bills within a two year date of service, View and print a copy of an online Explanation of Benefits (EOB) image, Search Medical Bill Address by Office Address Search, Obtain information for electronic funds transfer (EFT) payments to get paid faster, Obtain instructions for Reconsideration/Corrected bill process, Review provider Network Information for IL, TX, CA, and CT, Access to view and print CA Utilization Review submission forms with instructions, Access to view and print LA Utilization Review submission forms with instructions, Access to view and print Utilization Review submission forms with instructions for all other states, Access to view and print Treatment Request forms with instructions for Non-UR states, Access to view and print TN Preauth requirements and restrictions. FCS Administrators is a fully licensed, full service, third party claims administrator serving NY State employers for over thirty-five years. We offer providers innovative solutions to help manage your day-to-day, including staying on top of the payment. Register with OWCP Connect first, and then give the OWCP Connect ID (your email address) to the System Administrator of the existing provider. The Workers Compensation Board is instituting many changes to the Medical Treatment Guidelines, Prescription Drug regulations, and the manner in which medical providers can request approval for treatment of workers compensation claimants. Chapter 635 of the Laws of 1996 authorized a number of initiatives intended to reform the New York State Workers' Compensation system. An Employer's Guide to Workers' Compensation in New York Provider Login Check out educational videos designed to help you better understand risk management. How to Become a NYS Workers' Compensation Board Authorized Provider, Workers Compensation Resources for Claims Administrators, Certificate of completion of an approved residency program (if you have completed a residency). Every business owner wants to prevent bad things from happening. Sign and notarize the Affirmation A for all nonunion employees. 2022-12-05. Revised Retrospective Rating Values; Effective October 1, 2023. Under this initiative, the Department of Health is responsible for the development, implementation and administration of a process for the certification and monitoring of participating PPOs. For more information about claim management services from Chubb, contact your insurance agent or broker. Your employees are one of your most valuable assets. NYSIF After logging into the Medical Portal, under Medical Provider, select Training, and then Training Requirements for Provider Authorization. A new medical bill process system was launched on April 27, 2020, offering providers more efficient bill processing. a penalty of $2,000 per day, plus actual compensation and medical costs for the employee which could be hundreds of thousands of dollars. If you would like to start a workers' compensation claim online, please fill out an Injury Reporting FormOR call us at (800) 367-3743. Click here to resume or track the in-progress enrollment application. Email *. After 30 days an employee "can opt out" of the network. State-Specific Information How to Apply. existing claims in the state of New York, please visit ourWorkers What Providers Seeking Authorization Need to Know - October 2022: Video / Slides. Step 1: Start your claim If you would like to start a workers' compensation claim online, please fill out an Injury Reporting Form OR call us at (800) 367-3743. As of January 1, 2020, licensed clinical social workers, nurse practitioners and acupuncturists, as well as physician assistants, occupational therapists and physical therapists may apply to become a Board-authorized provider. Handbooks and directories will be provided by Corvel via mail upon receipt of the applicable Affirmation letter(s). New York State Adoption of Direct Deposit, Civil Service Exam Schedule & Application Process, NYC Health + Hospitals Personnel Rules & Regulations, NYC Health + Hospitals Certification Hiring Pools Schedule, Employee Guidance/Policies & Occupational Health, Emotional and Psychological Support Resources, Employee Self Service / Manager Self Service, Workplace Violence Incident Form 2829 Electronic Reporting, Emergency Preparedness Coordinators Contacts, Environmental Safety Coordinators Contacts, NYC Employees' Retirement System (NYCERS), NYC Deferred Compensation Plans (DCP) 401K & 457 Plans, HYC Retiree Health Benefit Programs (HBP), Financial Wellness Program & Upcoming Seminars, New York State Workers Compensation Board Listing of Participationg Physicians, NYS Workers Compensation Board Participating Physician, Supervisor's Report of Occupational Accident/Injury form 1615, Worker's Compensation Explained: Report a Claim & Request a Leave of Absence Due to Work-Related Injury, NYC Retiree Health Benefit Programs (HBP), New York State Workers Compensation Board Listing of Participating Physicians. If you have questions about your claim, contact us at (855) 492-3665 during business hours (7 a.m. - 5:30 p.m.) or at (800) 367-3743 after business hours. Our team plays an important role in managing workers' compensation cases by: Well also be available to help you complete the following forms to get medical clearances from a physician and identify employee's physical restrictions: Injured workers will be provided with a pharmacy card, which is presented to pharmacies for prescription drugs for compensable injuries. Locate a medical network provider in all other states ( select Coventry Integrated Network in the Networks drop-down menu ). Health care providers and their assigned delegates, use the Medical Portal to access OnBoard to submit prior authorization requests (PARs) for Medication, DME, medical treatment/testing and Request for Decision on Unpaid Medical Bills (Form HP-1.0). How to Apply. Our proprietary network is comprised of providers in all specialties and serves more than 10 million diverse workers across the country. Explore industry thought leadership on how CorVels solutions enable better outcomes. Chubb encourages participation in the PPO as it can be considered a benefit to obtaining timely medical care for employees. In the event that your question is of an urgent nature, please contact our claim office and ask to be transferred to a Nurse Consultant. New User ? In New York an employer can direct care for 30 days if they enroll in managed care. You can find more direction and clarification on specific states at the links below. CorVel's provider relations includes access to our provider portal and provider resources. Complete the New Provider Authorization Request online application. The following medical providers may be authorized to treat injured workers in the NYS Workers' compensation system. www.dol.gov Stay in touch with the injured employee about getting back to work either in a temporary or modified assignment or with full responsibilities as soon as he or she is medically able. To receive treatment for a work related injury you must seek treatment from a NYS Workers Compensation Board Participating Physician; If a health care provider informs you that you cannot return to duty, inform your supervisor and request an extended leave of absence via email directly to HRSSLeaveAdministration@nychhc.org or through Employee . A mail-order option is also available and it can provide long-term medications at reduced cost and greater convenience. Please refer to theQuick Guide on how to register for initial access. Please note that by providing your information it is being transferred to, stored or processed in the United States, where our data center and servers are located and operated. When completing the online application, you will be asked to select the medical society you wish to perform the initial review of your application. Mail the completed forms to the address below within 10 days. Click here to begin the enrollment process. All requests must arrive to FCS electronically, from New York based and out of state treating physicians. Workers Compensation Direct Deposit Application and Information, Fraud Inspector General Workers Compensation Board NY.gov, Medical Treatment Guidelines Workers Compensation Board NY.gov, NYS Workers Compensation Board Home Page, Financial management and budgeting assistance, Excess Workers Compensation insurance placement. Workers' Compensation PPO Character and Competence Review Information, (PDF, 296KB, 10pg.) New York Workers Compensation Website for Q & A. OnBoard: Limited Release is the first phase of OnBoard, designed to move key processes for health care providers and claim administrators from paper to online. If selecting MSSNY, you'll be asked which county medical society you want to send the application to for review. 2571. This question is for testing whether you are a human visitor and to prevent automated spam submission. Enroll today to receive payment for services you provide to claimants approved by OWCP for workers compensation. Our goal is to maintain maximum responsiveness to our valued clients regardless of these newly enacted precautionary measures. Participation in the PPO will help support medical cost containment and facilitate prompt return to work. Provider Home Our team is ready to answer any questions and help you find the right solutions. Workers Compensation State Resources. Additional information and support can be found in the FAQs, Forms & References and Contact Us sections. Medical Portal Overview Video: Signing up to access the Medical Portal (5 min) Locate a medical network provider in New York State. FCS Administrators is committed to maintaining uninterrupted service to our clients through the new challenges presented by the novel coronavirus pandemic, while also ensuring the safety, health, and well-being of our colleagues, clients, and community. Provider Training | OFFICE OF WORKERS' COMPENSATION PROGRAMS - DOL Provider Home Training & Tutorials Training & Tutorials for Provider Our vast training and tutorials library will help you successfully use the secure Medical Bill Processing Portal.