News and updates for Medical Providers

• The May roundup of L&I news for providers is now available online. You can also receive updates through our Medical Provider News email list. (May 4, 2012)
  Stories include:

• E-correspondence launching in 2013
• Don't understand what happened with your bill?
• Did you know that you can charge for missed appointments - if you have a written policy?

• New Missed Appointment Policy - L&I  has developed a new policy that will allow providers to charge an injured worker for a missed appointment. The provider must have a missed appointment policy that applies to all insurers and the provider must notify the injured worker of their missed appointment policy. L&I is not responsible for payment of a missed appointment unless the appointment is for an examination arranged by L&I or self-insurer (e.g. IME).  L&I or self-insurers are not responsible for the implementation and/or enforcement of any providers missed appointment policy. For more information please see WAC 296-20-010. (Mar 23, 2012)

• New Explanation of Benefits (EOB) Look-up - L&I has created a new look-up utility that will help you determine why a bill has suspended/denied, or provides you with the explanation of payment level made to you.  This tool will be especially helpful to organizations that have separate accounting and billing departments. The look-up utility can be found at: http://www.Lni.wa.gov/ClaimsIns/Providers/Billing/EOB/default.asp (Mar 20, 2012)

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