Owcp.dolsyst.portal.conduent.com

Pharmacy Bill Processing Portal

WEBIf claimants have refills available at a non-participating pharmacy, an Optum/FECA network pharmacy may be able to transfer and receive the remaining refills. Claimants can search for participating pharmacies on the web (ecomp.dol.gov) or by contacting Optum at 1-833-FECA-PBM (1-833-332-2726). If a pharmacy provider would like to join Optum's

Actived: 5 days ago

URL: https://owcp.dolsyst.portal.conduent.com/portal/main.do

HOW TO SUBMIT OWCP- 1500 BILLS TO ACS

WEBAuthorization will be given for the number of modalities to be done per day and the number of days requested. Routine services such as office/clinic visits, plain x-ray films and laboratory services do NOT require prior authorization. Please call (866) 335-8319 or fax (800) 215-4901 to request an authorization.

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Affordable Healthcare for Non-Workers Compensation claimants

WEBIf you are one of the many Americans who purchase their own health care coverage or own a small business, starting in 2014 you will have access to more affordable private insurance options at the new Health Insurance Marketplace.A provision of the Affordable Care Act, the Marketplace will provide individuals. families, and small businesses with a way to …

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How to Submit OWCP-04 Bills to DOL

WEBHow to Submit OWCP-04 Bills to DOL . Office of Workers’ Compensation Programs. Division of Energy Employees Occupational Illness Compensation . The following services should be billed on the OWCP-04 Form:

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How to Submit OWCP-04 Bills to DOL

WEB1. All bills must contain the Federal Employees’ Compensation Act (FECA) 9-digit case number of your patient or client as well as the 9-digit Provider ID Number. 2. Laboratory, x-ray, physical therapy, and clinical test such as ECGs, etc. must be identified with the

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Provider Enrollment Form U.S. Department of Labor

WEBGroup Provider Enrollment — #10c For group practice enrollment, please enter the following information for each professionalwho will provide services under the group EIN. Select from the attached list the Provider Type code that most closely describes the service(s) that the professional

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(FECA), the BLACK LUNG BENEFITS ACT (BLBA), and the …

WEBServices provided by skilled nursing facilities, nursing homes and hospices (including medications and other services such as oxygen and respiratory services), as well as personal care services provided by a home health aide, licensed practical nurse or similarly trained individual, may also be provided. FEES: The Department of Labor’s Office

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United States Department of Labor

WEBForm CA-27 Page 2 Oct 2016 28. Have you accessed the requisite state Prescription Drug Monitoring Program, if available, regarding this patient’s history of controlled substance prescriptions and will you do so every

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Dear Provider: Thank you for your interest in participating as a

WEBFor group practice enrollment, please enter the following information for each professional who will provide services under the group EIN. Select from the attached list the Provider Type code that most closely describes the service(s) that the professional provides.

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BLACK LUNG BENEFITS PROGRAM ICD-10 FREQUENTLY …

WEBQ. Will Black Lung continue to accept ICD-9 codes for service performed on or after 10/1/2015? A. No. Q. Will Black Lung accept the revised CMS 1500 claim form version 02/12?

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Division of Energy Employees Occupational Illness …

WEB5 ICD – 9-CM ICD – 10-CM 13,600 codes 69,000 codes Code book contains 17 chapters Code book contains 21 chapters Consists of 3 to 5 characters Consists of 3 to 7 characters

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enrollment packet 04-2010

WEBDear Provider: Thank you for your interest in participating as a provider of medical services for programs administered by the U.S. Department of Labor’s Office of Workers’

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How to Submit UB-04 Bills to The Federal Black Lung Program

WEBMOUNT STERLING, KENTUCKY U.S. Department of Labor ESA/OWCP/DCMWC 402 Campbell Way Mount Sterling, Kentucky 40353 Commercial: (859) 498-9700 Toll-Free: (800) 366-4628

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Type of Adjustment

WEBGeneral Medical and Surgical Authorization Request Fax # 1-800-215-4901 Authorization Request – General Medical and Surgical Effective 10-1-2015

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How to Submit UB-92 Black Lung 1-10-05 FINAL1

WEBBoth Inpatient and Outpatient services will use the UB-92 form for billing since pricing will be based on Revenue Center Codes. Laboratory, x-ray, physical therapy, and clinical tests, such as ECGs, etc. must be identified with the correct CPT code. 3. Use the ICD-9 coding booklet to identify proper surgery codes. 4.

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