Claim Manager Authorizations
To contact the claim manager
- Call 360-902-6767 and your call will be forwarded to the appropriate claim manager, or
- Send a secure message through the Claim and Account Center (CAC) if you are the attending provider.
Note: If you are the attending provider you can also check the Claim and Account Center, to see if treatment has been authorized on a claim.
To find out what services must be authorized by the claims manager, check out our fee lookup utility. Below are common services authorized by the claims manager.
- Consultations, such as;
- Psychiatric,
- Pain Clinics.
- Referrals to mental health specialists.
- Chiropractic visits with physicians who use E/M office visit codes.
- Office calls in excess of the first 20 visits or 60 days (whichever occurs first).
- Most inpatient hospital admissions.
- Outpatient surgeries/procedure:
- All treatments require claim manager authorization.
- Home nursing, attendant services or convalescent center care must be authorized per provisions outlined in WAC 296-20-091.
- Diagnostic or therapeutic injection. Epidural or caudal injection of substances other than anesthetic or contrast solution will be authorized under the following conditions only:
- When the worker has experienced acute low back pain or acute exacerbation of chronic low back pain of no more than six months duration.
- The worker will receive no more than three injections in an initial 30-day period, followed by a 30-day evaluation period. If significant pain relief is demonstrated one additional series of three injections will be authorized. No more than six injections will be authorized per acute episode.
- See L&I's Drug Policy page for more information.
Don't know who is the claims manager is?
- You can call the Interactive Voice Response Message System (800-831-5227) to obtain the name and phone number of the claim manager on a particular claim.
