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Billing Self-Insured Employers

When you treat an injured worker insured by their employer rather than by the State Fund, submit bills directly to the employer or their claims representative.

To determine if an employer is self-insured

 

Self-insured employers must authorize treatment (www.leg.wa.gov) and pay bills according to the same Medical Aid Rules and Fee Schedules followed by L&I.

If you don't agree with a payment received from a self-insurer, you must follow WAC 296-20-125(9) (www.leg.wa.gov), and inquire about it within ninety days of payment to be considered.

You can now bill the self-insured employer interest on the balance due when payment isn't made within 60 days of receipt of a proper bill.

 

Need L&I's Self-Insurance Section's assistance? All disputes must be received in writing.

 

Related information

Self-insurance laws and rules

WAC 296-15 (www.leg.wa.gov) - Worker's compensation self-insurance rules and regulations.

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