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Submission: On June 03 via manual from US — Scanned from US
Submission: On June 03 via manual from US — Scanned from US
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Skip to main content OFFICE OF WORKERS' COMPENSATION PROGRAMS OFFICE OF WORKERS' COMPENSATION PROGRAMS MEDICAL BILL PROCESSING PORTAL MEDICAL BILL PROCESSING PORTAL Search Search FAQs CONTACT US Toggle navigation MAIN MENU * Home * Provider * Provider Home * Enrollments * Authorizations * Billing * Payments * Provider Manual * Claimant * Login * DOL Staff * Provider * Claimant * Representative * Auditor * Resources * Training & Tutorials * FAQs * Forms & References * News * Fee Schedules * Announcement Archive * Pharmacy/LMN * DFEC * DCMWC/DEEOIC * Contact Us 1. Home 2. News ALL NEWS General DCMWC DEEOIC DFEC - Any -TrueFalse News Search Apply OWCP adjustment/void processing for DFEC and DCMWC - 05-31-2024 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 OWCP Enhancement to Prevent Overpayments - 05-28-2024 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 OWCP DFEC Recoupment Process - 04-15-2024 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 OWCP Fee Schedule Calculator Tool - 04-15-2024 Effective April 20, 2024, OWCP will release a new Fee Schedule Calculator tool on the Workers’ Compensation Medical Bill Processing (WCMBP) web portal https://owcpmed.dol.gov/portal/. This feature will be available to providers after logging in to the secure WCMBP portal. The fee schedule calculator is a tool used to estimate the maximum allowable amount for services rendered and billed on the OWCP 1500 Professional form or the ADA Dental form. It is important to note: * While the fee schedule calculator tool estimates payment, it does not guarantee eligibility or coverage for your specific service. * The fee schedule calculator tool will not advise if services are appropriate for the accepted condition and will not confirm if authorization is required. Please use the Claimant Eligibility Inquiry and Authorization Submission features to verify this information. Please refer to the Fee Schedule Calculator Quick Reference Guide for step-by-step instructions. 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 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 OWCP Paperless Correspondence Option - 04-08-2024 Effective April 20, 2024, providers can select an option to receive outbound OWCP medical bill processing correspondence electronically only. Electronic copies can be accessed on the secure WCMBP Portal (https://owcpmed.dol.gov/portal/). The paperless option includes correspondence such as Remittance Vouchers (RV), Authorization Approval Letters, and Billing Returned To Provider (RTP) Letters. Providers can select the paperless option in the Add Location step of a provider enrollment application or the Provider Maintenance page by selecting the “opt in” checkbox. A contact email address will be required, as providers will receive an email notification notifying that correspondence is available on the WCMBP Portal Provider Enrollment and IRS correspondence will continue to be mailed in addition to being available electronically on the portal. This includes 1099s, Provider Enrollment Welcome Packets, and Provider Enrollment RTPs. For additional information, 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 New Pharmacy Benefit Manager - 03-15-2024 The U.S. Department of Labor (DOL) has contracted with Conduent to provide pharmacy billing services to the Office of Workers' Compensation Programs (OWCP) Division of Energy Employees Occupational Illness Compensation (DEEOIC) and Division of Coal Mine Workers' Compensation (DCMWC). All DEEOIC and DCMWC claimants should now have a new Medical Benefit Identification Card (MBIC). If you are a DEEOIC or DCMWC claimant and still need a new MBIC, please contact the Acentra Health Customer Service toll-free number at 1-800-638-7072 for DCMWC or at 1-866-272-2682 for DEEOIC. Pharmacies are required to submit their pharmacy transactions electronically to Conduent for payment. Pharmacies are encouraged to call Conduent at 1-866-664-5581 for prescription benefit and processing assistance. New Benefit Cards (DEEOIC and DCMWC claimants) - 02-14-2024 If you are a DEEOIC or DCMWC claimant, you will be receiving a new benefits card in the mail in March 2024 with associated documents from Acentra Health on behalf of OWCP. Your current card will remain active until March 15, 2024. If you do not receive your card by March 15, 2024, please call Acentra Health Customer Service toll-free number for DCMWC at 1-800-638-7072 or DEEOIC at 1-866-272-2682. OWCP Provider Enrollment Electronic Signature - 01-22-2024 Effective January 27, 2024, providers can submit provider enrollment applications and enrollment maintenance updates using an electronic signature. An electronic signature will be applied to the application based on the account information of the user who is completing the application online. A “wet” or physical signature will no longer be required to submit an enrollment application or update. Electronic signatures are also applicable in these scenarios: * Online provider enrollment application with the status of “In Progress” (started but not submitted). * Online provider enrollment application with status of “Returned to Provider” (RTP’d). Please refer to the Enrollment Resource Guides for further information by visiting https://owcpmed.dol.gov/portal/Provider/Enrollments. 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 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 OWCP New Option for Requesting Authorization Cancellation - 12-07-2023 Effective December 9, 2023, the DEEOIC and DFEC Programs for the Office of Workers’ Compensation Programs (OWCP) are implementing an enhancement to allow providers to cancel an authorization request. Specifically, this cancel option will be available for initial and correction authorization requests with an “In Review” or “Processed Awaiting Decision” status. For additional information, please contact our Call Center at the number listed below. A Call Center representative will be happy to assist you. * Division of Energy Employees Occupational Illness Compensation (DEEOIC): 1-866-272-2682 * Division of Federal Employees' Compensation (DFEC): 1-844-493-1966 OWCP DFEC Bill Processing Improvement for Newly Accepted Cases - 12-06-2023 Effective December 9, 2023, the DFEC Program for Office of Workers’ Compensation Programs (OWCP) will enhance bill processing to automatically reprocess previously submitted bills that denied when the injured or ill worker’s case was under development, after the case is later accepted as payable by OWCP. On December 9, 2023, a one-time courtesy bill reprocessing will occur for claimant cases that were adjudicated by DFEC, and accepted conditions assigned in the previous four weeks. Afterwards, bills denied after December 9, 2023, will be automatically reprocessed if the case is accepted as payable. Please note that additional denial EOBs may post during reprocessing. For example, if denials post for authorization of services related to accepted conditions, then providers are encouraged to request authorization for the billed service(s). For additional information, please 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 OWCP Bill Submission NPI and Taxonomy Update - 10-25-2023 In an ongoing effort to better align with industry standards of practice, the Office of Workers’ Compensation Programs (OWCP) is enhancing its medical bill processing system to capture the provider NPI and taxonomy number for billing and servicing providers. Providers are encouraged to include NPI and taxonomy number when billing for services provided to injured or ill workers for the Office of Workers’ Compensation Programs. Online Bill Entry (web portal direct data entry): Refer to the Direct Data Entry Billing Tutorial for instructions and examples. * Web portal fields will be added for providers to include billing and rendering (servicing) NPI and taxonomy. * Be sure to note that for all claim types, the billing NPI will be added to your bill based on your OWCP provider record. You may update the billing NPI on your bill prior to submitting. Note: If the wrong billing NPI populates on your bill, please be sure to submit a provider enrollment update with the correct NPI information. For step-by-step instructions, refer to the quick reference guide Updating Provider Information in the Provider Portal * Messaging may appear on the portal to ensure NPI and taxonomy are both entered 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 (DCWMC, DEEOIC, or DFEC). Health Insurance Claim Form (OWCP-1500): * Billing provider NPI is to be entered in Box 33a and billing taxonomy is to be entered in Box 33b Note: If you have been submitting your 9-digit billing OWCP provider ID using Box 33b, please begin entering your OWCP provider ID in Box 33 per the form instructions. * Rendering (servicing) taxonomy and rendering (servicing) NPI are to be entered in Box 24J For Uniform Health Insurance Claim Form (OWCP-04): * Billing provider NPI is to be entered in Box 56 and billing taxonomy is to be entered in Box 81CCa * Attending (servicing) NPI is to be entered in Box 76 and attending taxonomy is to be entered in Box 81CCb For ADA Dental Claim Forms: * Billing provider NPI is to be entered in Box 49 and billing taxonomy is to be entered in Box 52a * Treating (servicing) NPI is to be entered in Box 54 and servicing taxonomy is to be entered 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 NM109: NPI Taxonomy Loop – 2000A Segment – PRV PRV01: BI (Billing) PRV02: PXC (Qualifier for taxonomy code) PRV03: Provider taxonomy code Example: PRV?BI?PXC?207Q00000X~ * 837 file segment details for servicing provider NPI and taxonomy PRV03: Provider taxonomy code 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 Example : NM1?82?1?DOE?JANE?C???XX?1234567804~ Taxonomy Loop: 2310B Segment: PRV PRV01: PE (Performing) PRV02: PXC (Qualifier for taxonomy code) PRV03: Provider taxonomy code Example: PRV?PE?PXC?1223G0001X~ Line NPI Loop: 2420A — RENDERING PROVIDER NAME Segment: NM1?82 NM108: Identification Code Qualifier = XX NM109: NPI Example: NM1?82?1?DOE?JANE?C????XX?1234567804~ Taxonomy Loop: 2420A Segment: PRV PRV01: PE (Performing) PRV02: PXC (Qualifier for taxonomy code) PRV03: Provider taxonomy code Example: PRV?PE?PXC?208D00000X~ Institutional Header NPI Loop: 2310A - ATTENDING PROVIDER NAME Segment: NM1?71 NM108: Identification Code Qualifier = XX NM109: NPI Example: NM1?71?1?JONES?JOHN????XX?1234567891~ Taxonomy Loop: 2310A Segment: PR PRV01: AT (Attending) PRV02: PXC (Qualifier for taxonomy code) Example: PRVAT?PXC?208D00000X~ New messaging will appear on your remittance voucher to alert you if any of the required NPI or taxonomy information is missing or does not match your provider record. Be sure to view the Explanation of Benefits (EOB) Quick Reference Guide for further details. 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 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 Attention - New OWCP provider Manual - 10-16-2023 We are excited to announce a “NEW” Provider Manual located on the Workers’ Compensation Medical Bill Processing (WCMBP) portal. Based on the feedback that we have received from the provider community, we developed a manual that offers important information on billing, authorizations, enrollment, policies, and eLearnings. This new Provider Manual will serve as an all-inclusive resource to ease gaining access to answers about the WCMBP system and services, such as how to maintain provider license, where to submit authorizations, or how to understand bill adjustments and appeals. Please visit the Featured Content section of the portal website at https://owcpmed.dol.gov/portal/ for more information. For additional information, please contact our Call Center at the 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 OWCP Servicing Provider License Maintenance - 09-25-2023 Effective October 28, 2023, the Office of Workers’ Compensation Programs (OWCP) will begin a review process to ensure servicing provider license or certification information is active and up to date. Providers enrolled as a group practice are required to identify servicing (medical) providers during the enrollment process. This new process will send correspondence to the group if any servicing provider license information expires in 60 or 30- days. Groups will be required to update servicing provider license information if the license expiration is forthcoming. If that action is not completed, then the servicing provider record will be terminated from the group. Please note this will not terminate the group’s OWCP provider ID. Providers can review and update servicing provider information via the Workers’ Compensation Medical Bill Processing (WCMBP) portal at https://owcpmed.dol.gov/ or via paper on the OWCP-1168 located on the Forms and References page. Online: We encourage providers to use the WCMBP Portal to review and update servicing provider license information, including license expiration date. Please upload a current copy of the professional license or certification for the servicing provider. Servicing provider (medical provider) information, such as SSN, NPI, name, taxonomy and license information are found on "Step 10 – Add Servicing Provider Information." of the online enrollment process. In addition, providers will be able to review and confirm existing provider record information, such as group NPI, provider contact information, and payment details. Log in to your account via our website: OWCP Medical Bill Processing Portal (https://owcpmed.dol.gov). We have provided detailed instructions on how to review and verify your OWCP record in the Updating Provider Information Resource Guide. Registration is required for online access. Please refer to the Legacy and New Providers Initial Access and Online Billing (dol.gov) Quick Reference Guide for more information. Mail: Mail the updated OWCP-1168 Provider Enrollment application along with the Provider Enrollment Cover Sheet and your OWCP Provider ID to the following address: Provider Enrollment Department of Labor - OWCP P. O. Box 8312 London, KY 40742-8312 Fax: Send the updated OWCP-1168 via fax with the Provider Enrollment Cover Sheet and your OWCP Provider ID to 888-444-5335. The Provider Enrollment Cover Sheet is located on the Forms and References page. For additional information, please contact our Call Center, 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 OWCP Virtual Help Session - 08-17-2023 OWCP will host Virtual Help Session on Friday September 8, 2023, from 3:00 - 4:00 pm ET. Providers will have an opportunity to ask general questions regarding the medical bill processing system including enrollment, authorizations, billing, and web portal features. Providers will be able to gain insight on helpful information, available tools and to request further assistance. During this open forum, attendees are not obligated to stay for the full hour. If you are interested in joining, please click this link to register. Attendee name and email are required to register for the event. Once entered, you will receive an invitation with a link to join the event. Tips for the Virtual Help Session call: * Please refrain from referencing specific claimant information or disclosing other protected health information (PHI) during the call * Participants can participate via voice or chat during the session * The help session will be memorialized via recording and/or transcription to ensure all questions and issues are captured * Providers are not required to attend for the duration of the call We welcome the opportunity to connect with you! If you need any technical assistance prior to or during the call, please contact WCMBP_TRAINING@cns-inc.com for help. DEEOIC Authorization Updates - 08-03-2023 Effective August 5, 2023, the Division of Energy Employees Occupational Illness Compensation (DEEOIC) will update the guidelines for submitting the same services within an authorization request. Providers will not be able to submit an authorization request under the following conditions: * The same procedure code on multiple lines, even if the dates of service are not overlapping * The same procedure code on multiple lines, even if submitted with a modifier * The same revenue center code (RCC) on multiple lines without a different procedure code or with no procedure code Providers will be able to submit an authorization request under the following conditions: * The same procedure code using a date range * Separate dates of service under different authorization requests. For additional information, please contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you. * Division of Energy Employees Occupational Illness Compensation (DEEOIC): 1-866-272-2682 PAGINATION * Next page ›› View All News Office of Workers' Compensation Programs An agency within the U.S. Department of Labor 200 Constitution Ave NW Washington, DC 2021 CONTACT US DFEC: 1-844-493-1966 DEEOIC: 1-866-272-2682 DCMWC: 1-800-638-7072 OWCP Medical Bill Processing www.dol.gov PROVIDER Find a Provider Provider Home Provider Login Provider Enrollment Pharmacy (DFEC) Pharmacy (DCMWC, DEEOIC) Forms and References DOL | OWCP PROGRAMS INFO DOL | OWCP | DCMWC | DEEOIC | DFEC | DLHWC Acentra Health Employee Login