Attending Provider Resource Center

(Formerly the Attending Doctor's Handbook)

The Medical Director Welcomes You to Labor and Industries


How to use this resource

This online resource is a list of topics and web pages explaining key parts of Washington's workers' compensation system. Each section briefly explains why the topic is important for an attending provider (AP), followed by links to web pages written by subject matter experts. You can bookmark pages to information that is most relevant to you and your practice. If you find information lacking or confusing, or if you find it especially helpful, please send us your comments at ProviderFeedback@lni.wa.gov.

Contents (version 1.0)


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  • I. Becoming a Labor and Industries (L&I) Provider.
    1. Medical Provider Network (MPN) Mandatory for Attending Providers (APs)
      In Washingtons workers compensation system, APs must be, advanced registered nurse practitioners or licensed practitioners of medicine, osteopathic medicine and surgery, chiropractic, dentistry, podiatry, optometry or naturopathy. Please make sure that you join the MPN before you treat an injured worker for ongoing care. If you are not a member of the MPN, we are unable to pay you for treatment, except for the initial office or emergency visit. Our network of over 29,000 providers delivers high-quality medical care by using occupational medicine best practices. This helps injured workers recover and it helps employers by reducing unnecessary costs. Research shows that injured workers generally have better outcomes when health-care providers use best practices.

    2. Application Process - Simpler than you think
      L&I uses the Washington Practitioner Application, a standard form for most insurers and 99% of providers who apply are approved. Find out how to apply for the network.
    3. Responsibilities of the Attending Provider (AP) - You can make a difference
      As an AP you are in a key position to make a positive difference in the lives of injured workers and their families. Most importantly, you can help prevent long-term disability, which has high costs, both in human and financial terms. In addition to providing high quality health care for work-related injuries and diseases, your role and responsibilities include the following duties:
      • Initiate workers compensation benefits by completing the appropriate report.
      • Educate your patients about the benefits they should and should not expect to receive from the workers compensation system
      • Report on injured workers progress while they are being treated.
      • Help return workers to a productive work life.
      • Rate impairment when a workers condition has reached maximum medical improvement.
      • Report unsafe working conditions if you identify them while treating workers.
      • Agree to accept and abide by the departments Medical Aid Rules and Fee Schedules.
  • II. Fundamentals of Workers' Compensation in Washington State.
    1. History and Overview - It's not your grandfather's workman's comp
      The 19th and 20th century brought new industrialization and along with it, more frequent worker injuries. Employers were faced with lengthy and costly lawsuits, while workers, forced to prove an employer's liability, were often left jobless and destitute.

      To protect both, in 1911 Washington enacted "no-fault" industrial insurance laws requiring workers' compensation coverage for the most hazardous jobs. With these laws, neither party had to accept blame for the incident, employers could not be sued, and workers were guaranteed medical benefits and partial wage compensation. In 1937, the law expanded to cover occupational diseases, and in 1971, all classifications of employment in the state were covered.

      The program has grown and modernized over time, but the legal framework remains fundamentally the same. Today, L&I is one of 4 states that administers its own workers' compensation benefits, either through a public State Fund (covering 2/3 of Wash. workers) or through self-insured employers (covering 1/3 of Wash. workers). Other systems, such as federal workers' compensation and the Longshore and Harbor Workers Act, cover a small percentage of workers in Washington State.

      You can check L&I's website for more information about Washington State's workers' compensation system, including several reports and statistics on injuries, claims, and associated costs.

    2. Two Kinds of Claims - State Fund and Self-Insured
      In workers compensation, a claim is similar to a patients chart containing important information about the worker, the injury or exposure, diagnosis and treatment, the workers job, and the employer. If the employer pays premiums to the State Fund for their workers benefits, your point of contact will be an L&I claim manager. If the employer chooses instead to pay their workers benefits out of their own funds, they are a Self-insured Employer (SIE) and your point of contact for the worker will be either the SIE or a third-party administrator (TPA). Its critical that you know whether your patients employer is State Fund or Self-insured so you file the correct claim form and contact the right person(s).

      State Fund claims are filed using the Report of Accident (ROA), while SIEs report claims using the Self Insurer Accident Report (SIF-2) and the Physicians Initial Report (PIR). Although they use different forms, SIEs must follow the same laws and rules that govern State Fund employers, and they or their representatives are responsible for the payment of bills and authorization of medical treatment.
    3. Advisory Committees - Where providers advise L&I
      L&I has a long and successful track record of engaging with its partners in business, labor, and the health care community when it comes to major programs and decisions. Depending on your practice and patient population, you may be interested in knowing about these, and even participating when a topic interests you. Meeting agendas, materials, and minutes are always available online.
    4. Laws and Rules of WA Workers' Comp - A medical-legal system
      L&I is authorized to administer workers compensation benefits through Title 51 Revised Code of Washington (RCW). The authority for Medical Aid is in Chapter 51.36 RCW. Only the state legislature can make changes to these laws. Administrative rules (aka regulations), which help you understand and follow the intent of the RCWs, can be found in Title 296 of the Washington Administrative Code (WAC). The rules are based on multiple factors, such as medical and scientific evidence that supports the best in clinical care, fiduciary responsibility for the premiums State Fund employers pay, community standards of care, demonstrated occupational best practices, safety and efficacy of emerging technologies, and input from our advisory committees. For APs, these influence the treatment you can (or cannot) provide to injured workers. Together they focus on helping workers reach the best outcomes like a successful recovery, reduced disability, and return to work
    5. Treating Injured Workers - Liability limits care
      L&I (state fund claims) and SIEs are liable to cover only proper and necessary care (defined in WAC 296-20-01002) that is related to the diagnosis and treatment of an accepted condition, meaning one that is allowable by RCW or WAC and has been shown to be a proximate result of a workplace injury. This is important so you will know what type of treatment is reimbursable, and when treatment must stop. In other words, care must be curative or rehabilitative and must stop when maximum medical improvement occurs. Care must also be delivered in a cost effective manner. Familiarize yourself with the above WAC so you can be properly paid for your services.
    6. Confidentiality and HIPAA- It's different for workers' comp
      Surely, you are already familiar with HIPAA regulations. But, did you know that HIPAAs privacy rule exempts workers compensation programs? This means you can disclose a patients protected health information to L&I or the SIE without obtaining authorizations from your patient. In fact, state law [RCW 51.36.060] requires you to disclose a workers health information regarding work-related illnesses or injuries, when requested by L&I or the SIE. More information about HIPAA and L&I is available on L&Is web page.
    7. Record Storage and Retention - Boring but important
      Labor and Industries may audit records of the service you have provided your patient. For auditing purposes:
      • All medical records that show the extent of services provided must be maintained for a minimum of five years. In addition, the level and type of service for which you seek payment must be documented and maintained. (WAC 296-20-02005)
      • X-rays must be kept for a minimum of 10 years. (WAC 296-20-121)
      • X-rays and other imaging studies must be returned to the worker, hospital or the office that provided them, unless they have directed you not to return them.
    8. What if I suspect fraud or an unsafe workplace - Who ya gonna call?
      Preventing Fraud
      Preventing fraud is the right thing to do. L&I takes fraud seriously and violating laws can have significant consequences. APs are in a key position to spot fraud and help L&I take appropriate action. Unfortunately, some providers have themselves been part of a fraud scheme. Its everyones responsibility to make sure our workers compensation system is used appropriately.

      Fraud activities can appear in different forms, such as:
      • A worker filing a claim when not actually injured on the job,
      • A worker collecting time-loss benefits while working or when not entitled,
      • Employers who try to prevent workers from filing claims or directing to whom their workers should go for care, or
      • Providers billing for services not provided.
      Thank you for doing your part to prevent fraud.

      Unsafe Workplaces
      If you are concerned that a patients workplace is not safe, L&I urges you to report this to the service location closest to you. You can discuss your concerns with a safety or industrial hygiene supervisor. If appropriate, the supervisor may ask you to file a complaint, and the workplace will be inspected.
  • III. The Claim Process.
    1. Claim Filing Responsibilities - Initiating and filing
      You have the opportunity to start a worker on their path to recovery. Unlike other health insurance systems, in workers compensation, a claim isnt a bill. A claim is a file of important information about the worker, the injury or exposure, the specific job, and the employer. The claim is monitored and managed by a person (the claim manager). It will benefit you and the worker to know when and how to file a claim properly. You can even file a claim online. Getting the claim started soon and in the right way, can make a positive difference during the initial treatment phase, will reduce the burden for you, and can lead to better outcomes for the worker.
    2. The History and Physical - It's different for workers' compensation
      In todays fast-paced health care world, providers are squeezed for time, so every minute counts. Yet there are additional factors you need to address when taking a history and physical for an injured worker. The immediate clinical needs come first, but you also must consider if and how the workers condition is related to their employment. Is it an industrial injury or occupational disease? If not, L&I wont be the insurer. If it is, L&I relies on you to provide a detailed occupational work history and any other environmental or other activities (e.g. military service or hobbies) that may have been contributing factors.
    3. Determining Work-relatedness - It must have happened on the job
      We need your expertise! APs play a key role in helping the department know whether a workers medical conditions are related to an on-the-job injury or job duties. The department relies on the provider community to send accurate medical documentation to make an allowance decision.

      Work-relatedness depends on a variety of factors (medical, legal, and administrative) and can be difficult to determine. The Accident Report requires the doctor to answer the question by either circling yes, probably, possibly, or no. By law, a claim can be accepted only if the doctor states that a condition is work-related on a more probable than not basis. This is interpreted to mean greater than 50 percent certainty, and would be indicated by circling either yes or probably.

      One requirement for a condition to be work-related is that an industrial injury or exposure must be a proximate cause of the diagnosed condition. The term proximate cause means a cause which, in direct sequence, unbroken by any new independent cause, produces the condition and without which the condition would not have occurred. Its not required that the industrial injury or exposure be the only proximate cause of the condition. The phrase without which the condition would not have occurred is the basis for the but for test, which may be familiar to some doctors.
    4. Occupational Diseases - Exposures whose symptoms may appear later
      Occupational diseases are different from industrial injuries and must meet several legal requirements as well as clinical case definitions. There are also filing deadlines for these claims. Also, when a worker is exposed to a hazardous element or condition, symptoms may not appear for months or even decades. When this happens, youll want to know what services are covered and payable. Its also important to know what diseases or exposures must be reported to public health officials.
    5. Activity Prescription Forms - Roadmap to Recovery
      APs are the departments best partner in helping injured workers heal and return to work. The Activity Prescription Form (APF) is a way of communicating your recommendations with everyone involved in the claim. The APF allows you to provide a summary of the workers condition and detail what the worker is medically capable of doing. Make sure to pay special attention to the category for objective medical findings. Completing the APF ensures timely benefit payments and reduces delays in authorizing treatment. You can even be paid for completing and sending it in!
    6. Reports and Documentation - It's worth getting it right the first time
      Yes, L&I requires paperwork. Its part of every healthcare system. To make it as easy as possible for you to get it right and save time, follow the outline and instructions for what documentation is needed and when. (WAC 296-20-06101) You are already familiar with subjective, objective, assessment, and plan (SOAP) notes; we add E and R to that. In workers compensation, we need to know about a workers Employment options (if, or when, the worker will be able to return to work) and their Restrictions to recovery (restrictions, barriers, or unrelated conditions preventing recovery or return to work). Remember, the goals are to help the worker heal, return to work, and ultimately prevent disability. You are an important person in helping achieve these goals.
    7. Protests and Appeals - How to work with the system
      Workers, employers, and providers dont always agree with decisions made by L&I, and they have certain protest and appeal rights. Whether or not you, as an attending provider, protest a decision, you may be asked to provide input when this occurs. For example, requests to reconsider closing a claim will be based on the medical condition, treatment program, and prognosis, information that you may need to provide. If, after reviewing the case, L&I doesnt change its decision, one can appeal outside of L&I, to the Board of Industrial Insurance Appeals (BIIA). BIIA is an independent body created by the legislature to hear such cases. If youre part of a protested decision, youll find valuable information at Protest L&I Decisions.
    8. Closing and Reopening a Claim - When care is needed again
      Attending providers (APs) can still assist workers and claim managers after treatment has concluded. When a worker is at maximum medical improvement, L&I will ask you or another examiner to send in documentation explaining the final status of the worker. L&I will then close the claim if appropriate. After the claim has closed, some workers experience a worsening of their previous work-related condition. If the APs believe the worker needs treatment for this worsened condition, they can assist the worker by filing a reopening application. Make sure to include all of the reports from your reopening examination.

      We cannot pay you for services related to the reopening of the claim if you are not participating in L&Is Medical Provider Network. If you are part of the MPN, you will be paid for the office visit and diagnostic studies necessary to complete the form. However, payment for any additional services not authorized by the department will depend on our decision on the reopening request. If the claim is reopened, benefits cannot be paid for services provided more than 60 days prior to our receipt of the reopening form.
    9. Pensions - When everything that can be done, has been done
      What can you do for an injured worker when, despite the best efforts, there is no more progress toward function and recovery? Whether the worker is totally and permanently disabled is an important part of the APs role. If yes, the worker becomes eligible for pension benefits. In general, medical services stop once a worker is placed on pension; however, the supervisor of industrial insurance, solely in his or her discretion, may authorize continued medical and surgical treatment for conditions previously accepted by the department when such medical and surgical treatment is deemed necessary by the supervisor of industrial insurance to protect such worker's life. (RCW 514.36.010(4)). If you find yourself treating a worker who appears to be headed this direction, learning how L&I determines total and permanent disability can help you help the worker.
  • IV. Treating Patients.
    1. Interpretive Services - Language access for all
      Every patient deserves effective communication. If you decide that an interpreter is needed, you may use any of the three following interpretation options for face-to-face appointments with the worker:

    2. Drugs and Prescriptions - Keeping workers safe
      Save time for you and the injured workers you treat by reviewing L&Is drug policies. You can also use the Drug Lookup tool to see which drugs are covered on the formulary. If a drug is non-preferred or requires prior authorization, you can also view formulary alternative(s). This will be especially helpful in decreasing calls from pharmacies asking you to change to formulary drugs and decreasing workers wait time to receive their medication.

      Of particular importance is opioids. Opioids are not effective for the most common injuries of sprains and strains. Although opioids may be appropriate for some acute phases of serious work-related injuries, more than one prescription increases the risk of disability. You can improve the care of injured workers and help save lives by using the best practices described in L&Is Guideline for Prescribing Opioids to Treat Pain in Injured Workers.
    3. Identifying Risk Factors - An opportunity for prevention
      Long-term disability is a major problem in workers compensation. For a patient who has been on time-loss for three months, there is a 50 percent probability that he/she will still be on time-loss at one year. As an attending provider, you have a valuable opportunity to prevent this when you address the patients medical and return-to-work needs within the first month after injury. During this time, a number of screening, assessment, and patient tools are available to help identify key risk factors.

      Several of them, including a Functional Recovery Questionnaire are on the Agency Medical Directors Group website. Here you can also find the 2015 Interagency Guideline on Prescribing Opioids for Pain, which discusses evidence-based ways to assess pain and function to help prevent debilitating chronic pain. Also available to you is an excellent practice resource on Reducing Disability: Psychosocial Determinants Influencing Recovery (PDIR). Check them out!
    4. Authorization for Services - There's more than one way to get it
      Do you need authorization to perform a service? Go here to help you determine what needs authorization and who you should contact.

      For requests for surgery, physical therapy, spinal injections and advanced diagnostic imaging, we have evidence based treatment guidelines and coverage decisions. This helps ensure workers receive quality care with the right treatment at the right time. All criteria are posted online, and you can get approval every time if you follow L&Is treatment guidelines. For these services, you can submit your authorization requests to the Qualis Health web portal from One Health Port. L&I values high quality health care provider partners, and for some services, providers who have 100% approvals can qualify for express authorization.
    5. Catastrophic Injuries and Care - Nurse case management can help
      Catastrophic injuries (generally those requiring acute hospitalization for four or more days) are thankfully declining and rare less than 1% of claims or about 200 cases, but they require an additional level of care coordination and planning. L&Is Catastrophic Care Management program dedicates a team of nurses and claim managers to these injured workers. The nurses and claim managers assign a nurse case manager to the case, and an internal referral team directs the worker, if appropriate to Centers of Excellence that are specific for their type of injury (e.g. burn injury or amputation). We have data systems and processes in place to evaluate the results of this Catastrophic Care Management with goals to continue improving the program. Collectively, these efforts improve communication, reduce delays, and increase the use of evidence-based medical care. If you find yourself caring for someone who has a catastrophic injury contact the workers claim manager for further assistance.
    6. Evidence-based Treatment Guidelines - To tell the truth
      Most of L&Is Medical Treatment Guidelines (also called Surgical Review Criteria) describe the requirements for a surgery request to be approved. The criteria are listed as subjective and objective findings, diagnostic tests, and conservative care requirements. The guidelines result from a systematic review of the best available medical literature, combined with expert clinical opinions from practicing physicians. If you are a surgeon, these guidelines are especially relevant for you. They are publicly vetted and approved by L&Is Industrial Insurance Medical Advisory Committee. Providers in L&Is Medical Provider Network are required by regulation to follow these guidelines. When a surgery is requested, L&Is Utilization Review team applies these guidelines to ensure the criteria are met.
    7. Medical Coverage Decisions - Do we or dont we?
      Generally, medical coverage decisions (defined in WAC 296-20-02700 through WAC 296-20-02850), are policy statements describing whether a specific health care service or supply is a covered benefit. Services/supplies may be for the purpose of diagnosis, treatment, or determining prognosis. L&I reviews and weighs the highest quality evidence on the services effectiveness, safety and cost-effectiveness to ensure high quality, value based care is delivered to injured workers. Medical coverage decisions may include criteria that must be met for the service or supply to be paid. Many of them are listed in this handy A-Z Condition and Treatment Index. Check it out and note those that are relevant to your practice.
    8. Independent Medical Exams and Impairment Ratings - Neutral party evaluations
      Independent Medical Exams (IMEs) are evaluations performed by an objective neutral party (physician or chiropractor) that answer specific medical questions and/or determine the extent to which an impairment may exist. They may also be requested for treatment recommendations after progress toward recovery has slowed. The majority, however, are requested when the attending physician (AP) declines to rate the impairment or the claim manager cannot obtain sufficient medical documentation from the AP. Medical Examiners who perform the IMEs provide a fresh and valuable medical perspective that can be helpful in cases that are more complex. As an AP, you will receive notice when an IME has been requested for your patient, as well as a copy of the IME report. Only physicians and chiropractors who meet L&Is standards may perform IMEs. More information is available at www.imes.Lni.wa.gov.
  • V. Best Practice Programs.
    1. Centers of Occupational Health and Education - (COHEs Ko-hees)
      Attending providers (APs) will want to know about L&Is Centers of Occupational Health and Education (COHEs). Sponsored by health care organizations in your community, this health care model is supported by peer reviewed, published evidence, and has a great track record of improving care and outcomes for injured workers. Through physician training, the use of Health Services Coordinators, and a streamlined electronic communication system, theyve been so effective in reducing disability that their community-based presence has expanded across all counties in Washington State. Find out more at: http://www.lni.wa.gov/ClaimsIns/Providers/ProjResearchComm/OHS/

    2. The Orthopedic and Neurological Surgeon Quality Project - Pay for quality
      The Orthopedic and Neurological Surgeon Quality Project (ONSQP) is a pay-for-quality initiative to improve workers outcomes through more timely access to high quality surgical care. Surgeons participating in the project receive incentive pay for demonstrating efficient high quality patient care.

    3. The Surgical Best Practices Pilot - Improves return to work (RTW)
      The Surgical Best Practices Pilot tests four new best practices for workers needing surgical care. These were selected to improve transitions of care and RTW planning for workers while they heal. The pilot is underway at three sites and is expected to run through June 30, 2019. Successful pilot best practices will be merged with the ONSQP for one surgical best practices program.

  • VI. Billing and Payment.
    1. General Billing and Payment - The basics
      Learn about best billing practices, and be paid for your services including paperwork requested by the department or self-insured employers. We also provide information about coding, who to bill, where to find our fee schedule & payment policies, and more. The 2017 Quick Reference Fee Schedule provides a list of some of the common forms and services paid in addition to your evaluation and management services.

    2. Medical Aid Rules and Fee Schedule - For professional services
      Get paid correctly the first time you bill L&I! To do this, you need to know what can be billed, what documentation or prior authorization might be required, and what we pay. You can learn about this by becoming familiar with L&Is Fee Schedules and Payment Policies, which is updated yearly, on July 1st. This site contains the policies, payment methods and maximum fees used to pay health care and vocational providers who treat injured workers and crime victims. When you become an L&I provider and are issued a provider account number, youre agreeing to accept L&Is established reimbursement amounts for each service as full payment.

    3. Documents to Support Billing - Get it right the first time
      To help you care for injured workers, and to help us pay you properly, its important that you provide L&I with documentation and reports at the right time and in the right format. If required documentation is missing or incomplete, your payment could be delayed, reduced or denied. Everything you need to know for submitting bills and reports correctly is available to you online. Provider Express Billing is a free and secure way to submit or adjust bills electronically and receive remittances through My L&I. The Documentation & Reporting page shows a list of reports and forms, along with L&Is expected turn-around times and due dates so you dont miss a payment.

    4. Billing Self-insured Employers - Or their administrators
      When you treat a worker insured by their employer rather than by the State Fund, submit bills directly to the employer or their representative. To determine if an employer is self-insured you can check L&Is public website for SIEs and third-party administrators or you can contact L&Is self-Insurance section.

      Although they use different forms, SIEs must follow the same laws and rules as State Fund employers, and they or their representatives are responsible for the payment of bills and authorization of medical treatment. Additional information is available online at the Billing Self-Insured Employers page.

  • VII. Helping Workers Return to Work.
      Research shows that workers who are able to return safely to light duty or transitional work while they are recovering from their industrial injury, heal faster and experience lower rates of long-term disability. You can help by documenting what your patient can do. These brief descriptions give you an idea of what is possible. More information is available at http://www.lni.wa.gov/Main/WorkingSolutions
    1. Stay at Work Program - Staying active and engaged
      In the Stay at Work Program, eligible State Fund employers who bring an injured worker safely back to work in a medically approved temporary light-duty or transitional job, (meaning the duties or work hours are modified to meet medical restrictions) may be reimbursed for some of their costs. Examples of possible reimbursements include wages, cost of training, tools, or clothing required to do their job.

    2. Preferred Worker Program - Everyone wins
      When a worker has healed as much as possible from his/her injury, but cannot return to his/her previous job due to permanent medical restrictions, L&I may certify these workers through the Preferred Worker Program. This provides financial incentives and premium relief to eligible employers who create medically appropriate, long-term jobs for preferred workers. The Preferred Worker Program helps employers support the workers return to work while holding down costs. Hiring employers may also qualify for additional financial help to modify equipment at worksites to help preferred workers complete certain work-related tasks.

    3. Functional Capacity Evaluations - What can the worker do?
      Functional Capacity Evaluations (FCE) may provide additional objective information in order for you to make return to work and treatment decisions. These evaluations are typically performed by an Occupational and/or Physical Therapist lasting 3-6 hours and include a summary of results.

    4. Job Analyses - Is this job OK?
      A Job Analysis is frequently a key component to help your patient safely return to work. The Job Analysis is developed by a vocational provider and describes the physical demands and essential functions a job. Vocational providers will seek your timely review and comment on the job analysis.

    5. Progressive Goal Attainment Program (PGAP) - Steps toward improvement
      This service may help your patients who havent returned to work and havent improved with early interventions. PGAP is a structured, evidenced-based, activity coach intervention created specifically to reduce or prevent disability associated with injury or illness. This service is for workers who express distress, fear of re-injury, anger, and/or hopelessness. PGAP is administered by specially trained rehabilitation specialists wholl meet or talk via phone with the worker once per week for up to 10 weeks. PGAP and Activity Coaching.

    6. Job Modifications - How can the employer help?
      Modifying jobs is a common way an employer and L&I can help your patient return to work by accommodating work restrictions. For eligible workers, L&I will provide financial assistance of up to $5,000 for the employer to cover the cost of a modification. This may include modifying the work environment or purchasing a piece of equipment.

    7. Retraining - When it's the only option
      Some workers dont have the skills or capacities to return to work. These workers may be found eligible to be retrained. The vocational provider will need your help, to include commenting on a job analysis, as they develop a retraining plan for the worker.

  • VIII. Resources that will Make Working with L&I Easier.
    1. How to Reach a Claim Manager - Often the first person you'll call
    2. My L&I for Providers - Your customizable web page
      When you sign up for My L&I for Providers, you will have access to information about all your patients whose care is being covered by L&I. With My L&I you can:
      • Check claim status
      • Review the claim file and notes
      • Add claims to your personal 'quick list' for easy access later
      • Communicate online with the claim manager
      • Receive mail from L&I online
      • Submit bills electronically
      • File reports of accident
      • Look up drugs and EOBs
      • Check treatment guidelines

      Setting up online access is easy and takes just a few minutes. You just need your L&I Provider ID or NPI, and a related claim number. Try it today! Sign up or Login to My L&I.

    3. Exchanging Data with L&I - As quickly and easily as possible
      L&I works with a wide range of health care organizations. Whatever the size of your practice, it is important to exchange timely and complete treatment and claim information so that injured workers can heal and return to work as quickly and easily as possible. L&I has three types of data exchange:
      • Health Information Exchanges (HIE)
      • Electronic data entry, and
      • Paper

    4. Provider Education Opportunites - Free CME
      L&I has staff available to help you understand billing and payment practices, occupational health best practices, and specific clinical topics such as safe opioid prescribing. Some of the educational activities offered by L&I are available for free Category 1 CME credit. Most are self-paced online modules, recorded webinars, and videos; some take place as live conferences and seminars.

      Examples: chiropractors can become consultants by taking one of our courses; we offer free CME credits for learning to help workers return to work; and by studying the 2015 Interagency Guideline on Prescribing Opioids for Pain and taking a test, you can meet Washingtons Department of Healths re-licensure requirement. Dont miss the opportunity to get free provider education, often written by our medical, chiropractic, and nursing staff.

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