Claimwire Newsletter - December 2016

Keeping Workers' Comp Professionals Up-to-Date

avatar Anonymous, Claimwire

12/30/16  General  0 comment(s) 

 
 
Keeping Workers' Compensation
Professionals Up-to-Date 
 
 
 
 
   A free service from your friends at Claimwire and our Sponsors
 
 
 
 
December 2016
 
 
 
State Form Changes
The following states have modified and/or added forms

ARIZONA
  • Wage Claim FormView
  • Employee’s Notice to Revoke Rejection of Terms of the AZ WC LawView
  • Notice of Professional Employer AgreementView
  • Preauthorization Request and Payer Decision (Limited to chronic pain and/or opioids)View
  • Discrimination StatementView
  • Carrier's Notification of Scheduled InjuryView
  • Worker's Supplemental Claim for CompensationView
  • Self-Provider of Medical Benefits FormView
  • Petition for Rearrangement or Readjustment CompensationView
  • Petition to Reopen a ClaimView
  • Claim for Dependent's Benefits - FatalityView
  • Employer's Report of Industrial InjuryView
  • Uninsured Employer Complaint FormView
  • Report of Significant Work Exposure to Bodily Fluids or Other Infectious MaterialsView

CALIFORNIA
  • Medical Mileage Expense Form In English/Spanish (for mileage after 1/1/17)View

DISTRICT OF COLUMBIA
  • Employer's First Report of Injury or Occupational DiseaseView
  • Memo of Payment of Workers' CompensationView
  • Notice of Controversion Memo of Denial of Workers' CompensationView
  • Notice of Final Payment of Compensation PaymentsView

HAWAII
  • Employer's Report Of Industrial InjuryView

KENTUCKY
  • Application for Resolution - Interlocutory ReliefView
  • Medical Report – Injury/Hearing Loss/Psychological ConditionView
  • Physician's Medical Report-Occupational DiseaseView
  • Motion to ReopenView
  • Hearing Loss Stipulation and Contested IssuesView
  • Safety Violation Alleged by Plaintiff/EmployeeView
  • Safety Violation Alleged by Defendant/EmployerView
  • Average Weekly Wage CertificationView
  • Kentucky Division Of Workers Compensation FatalityView
  • Average Weekly Wage Certification - Post InjuryView
  • Average Weekly Wage Certification - ConcurrentView
  • Plaintiff’s Employment HistoryView
  • Plaintiff’s Chronological Medical HistoryView
  • Request to Substitute Party and Continue BenefitsView
  • Agreement as to Compensation and Order Approving Settlement-FATALITYView
  • Agreement as to Compensation and Order Approving Settlement-INJURYView
  • Notice of Claim Denial or AcceptanceView
  • Medical DisputeView
  • Request for Expedited Medical DeterminationView
  • Statement of Proposed Stipulations and Notice of Contested Issues-INJURYView
  • Statement of Proposed Stipulations and Notice of Contested Issues-HLView
  • Statement of Proposed Stipulations and Notice of Contested Issues-ODView

MARYLAND
  • Statement of Wage Information (Average Weekly Wage) 14 WeeksView

MICHIGAN
  • Insurer's Notice of Issuance of PolicyView

NEVADA
  • Employer's Report of Industrial Injury or Occupational DiseaseView

NEW YORK
  • Employer's First Report of Work-Related Injury/IllnessView

SOUTH CAROLINA
  • Physician's StatementView

UTAH
  • Appointment of CounselView
  • Authorization to Disclose, Release and Use Protected Health Information (HIPAA Compliant)View
 
WASHINGTON
  • Independent Contractor or Covered Worker?View
  • Request for ConfidentialityView

WYOMING
  • Application for Temporary Total Disability BenefitsView
  • Employer's Notice of ChangeView
  • Claim for WagesView
  • Out of State Employer QuestionnaireView
  • Instructions for completing the Wyoming Quarterly UI/WC and UI Only Summary Report FormView

LONG SHORE - HARBOR
  • Rehabilitation Action ReportView
  • Pre-Hearing StatementView
  • Agreement and Undertaking (Self-Insured Employer)View
  • Waiver of Service by Registered or Certified Mail for Claimants and Authorized RepresentativesView
  • Work Capacity Evaluation Psychiatric/Psychological ConditionsView
  • Work Capacity Evaluation Cardiovascular/Pulmonary ConditionsView
  • Agreement and Undertaking (Insurance Carrier)View
  • Rehabilitation Plan and AwardView
  • Request of EarningsView
  • Application for Security Deposit DeterminationView
  • Request for Examination and/or TreatmentView
  • Employee’s Claim for CompensationView
  • Payment of Compensation Without AwardView
  • Carrier's Report of Issuance of PolicyView
  • Rehabilitation Maintenance CertificateView
  • Work Capacity Evaluation Musculoskeletal ConditionsView
 
To access forms for all 50 states
 
 
News and Announcements from States
CALIFORNIA
  • CWCI Study Examines Cumulative Trauma Claims in the California WC System View
IDAHO
  • Idaho EDI Claims Release 3.0 Information Update  View
OHIO
  • Five Things You Need To Know About BWCS Provider Fee Schedules View
TEXAS
  • Workers’ compensation rates in Texas among nation’s lowest View

NATIONAL
  • Insurity Acquires Systema Software View
  • Federal court ruling means OSHA drug testing limitations are now live View
  • Incorporating Telemedicine into Workers’ Compensation Care View
  • Announcement regarding Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) “Re- Review” Process View
  • Final Rule Issued to Improve Tracking of Workplace Injuries and Illnesses View

 
Streaming news and announcements
 
 
Nearly 12 MILLION forms
accessed from claimwire.com

Learn more about our web-service (API)
 
 
 
Claimwire Interviews, Spotlights, and Articles

Industry Spotlight: Introducing Claim Tactics
Claimwire Interview by Steve Schmutz Read

Announcing the Launch of Enspiri Solutions
Article by Paul Binsfeld, President of Company Nurse Read

Industry Spotlight - 20 Questions with Aaron Shapiro, Executive VP, Sales, Origami
Claimwire Interview by Steve Schmutz Read

What's the Next Big Thing in Insurance Technology? Emerging Concepts to Watch
Article by Paul Binsfeld, President of Company Nurse, LLC and Enspiri Solutions, LLC Read
 
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