Injured workers continue to have a choice of attending provider

Referral is made to a NCM located near the injured worker. The NCM is familiar with the health care resources in that area, and they:

• Help the injured worker find health care resources.
• Help the health care provider understand our requirements.
• Make sure the provider:
  • Has an L&I provider account number.
  • Knows how to bill us
  • Knows when and where to send progress reports.
• Makes sure the provider gets any needed information from us.

NCM policies and billing information is available on the current fee schedule.

Lookup service

Injured workers can find a doctor in their area using the Find a Doctor lookup tool. The search criteria includes provides type, specialty, and zip code. Search results display the providers name, address, and phone number. Note: Not all listed providers are willing or able to accept a patient.

L&I sites

• Managing claims - Information to assist providers in managing claims.
• Fee schedule - Rules and fee schedules for health care providers treating injured workers.
• Billing L&I - Information on how to submit bills to L&I and check the status of your payment.
• Pharmacy Billing - Bill L&I for pharmacy services.
• Treatment Guidelines - Information to assist doctors in treating injured workers.
• Provider Accounts - Becoming an L&I provider.
• Forms and Publications - Forms or publications specific to providers.

Closed Claim

Prosthetics may be replaced or repaired on a closed claim. Call the claim manager for assistance.

File an Application to Reopen Claim Due to Worsening Condition to apply to reopen a closed claim.

Pension claim

Although a pension claim is closed, it may have a treatment order. Call the claim manager to check on the status of a pension claim and what treatment will be covered. Scheduled drugs are not covered on a pension claim.

We have staff available to discuss general, and case specific questions.