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Office of Workers' Compensation Programs

Office of Workers' Compensation Programs (OWCP)

Division of Federal Employees' Compensation (DFEC)

Dallas, District 16 — Instructions for Submission of Bills

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Billing Guide For Claimants

Effective 09/02/03, the Federal Employees' Compensation (FEC) division of OWCP has consolidated its bill payment processes.

All mail and bills for Federal workers' compensation cases should be sent to:

U.S. Department of Labor
DFEC Central Mailroom
PO Box 8300
London, KY 40742-8300

INQUIRIES: For information about bills submitted for payment, call 1-866-335-8319.

You may also monitor the status of bill processing via a website: ACS Medical Bill Processing Portal

Note: local district office personnel should not be contacted for payment status on pending bills or reimbursement requests. Please contact the above number for these requests.

If you are an injured worker and are currently receiving compensation payments via electronic deposit, any reimbursement requests will also be paid electronically.

FORMS: Bills for treatment of your accepted condition should be submitted on Standard AMA billing form, HCFA-1500. Most doctors have this form or can obtain it through the Medicare carrier in your area. The medical provider must itemize services using AMA (not state) CPT codes for services performed, dates of service, provide Tax identification number, and must sign the bill.

HOSPITAL bills should be submitted on form UB-92, must be itemized fully, and must be submitted with Admission and Discharge medical summaries.

PHARMACY bills must be submitted on the Universal Billing Form, and must include the National Drug Council (NDC) codes, and also the prescription number, refill number, decimal quantity, date filled, and tax identification number and full name and address of the pharmacy. It should also reference your case file number. Also, OWCP may receive pharmacy bills from pharmacy providers electronically by electronic data interchange (EDI).

Reimbursements for pharmacy bills you have paid must be filed on FORM OWCP-915 with the Universal billing form attached.

Have your physician include information regarding prescriptions in the clinical notes or reports provided to us.

REIMBURSEMENTS: If you have paid the charges, submit the bill as indicated above, with proof of payment, along with your OWCP case file number and with an indication that you are requesting reimbursement. If your health benefits carrier paid for a condition now accepted by OWCP, the carrier can request Carrier Reimbursement.

FEE SCHEDULE: OWCP uses a schedule of maximum allowable medical charges. The employee is not responsible for amounts charged in excess of the maximum allowable medical charges.

TIME LIMITATIONS: Bills must be submitted within one year of date of service or acceptance of claim. If you have a large number of charges to submit, we recommend you send them in regularly rather than save them for once a year; this will allow faster and more accurate processing.

 

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