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Claims & Insurance Rules

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Rule Title/Topic Chapter Section Scope of Rule
Ambulatory surgery center payment 296-23B Billing, procedures covered, and payment regulations for abulatory surgery centers.
Asbestos Benefits 296-14 600 Rule on the payment of benefits on asbestos-related disease claims.
Attendant services 296-33 Regulations for attendant services, including insurance coverage and who may receive attendant services.
Calculating a Worker's Wage 296-14 520 - 530
Chiropractic consultations 296-23 195 Various regulations for chiropractic consultations
Claim Resolution Structured Settlement Agreements 296-14A
Classifications for Washington Workers' Compensation Insurance 296-17A
Rule Title/Topic Chapter Section Scope of Rule
Crime victims compensation mental health treatment rules and fees 296-31 Various regulations for Crime victims compensation mental health treatment rules and fees
Dental - General information and Instructions 296-23 160 Various requirements for dental information and instructions.
Firefighter Benefits 296-14 310 - 330 Various rules about industrial insurance benefits for firefighters.
General reporting rules, classifications, audit and recordkeeping, rates and rating system for Washington workers' compensation insurance 296-17
General Rules for Independent Medical Examinations and Approved Examiners for Independent Medical Examinations 296-23 302 - 392
Hospitals 296-23A Various regulations for hospitals in dealing with L&I
Industrial insurance 296-14 Various rules for industrial insurance.
Industrial insurance discrimination 296-15A Rules for filing a complaint of discrimination.
Rule Title/Topic Chapter Section Scope of Rule
Massage Therapy 296-23 250
Medical Aid Rules 296-20 Various rules for medial aid and procedures.
Mental Conditions and Disabilities Benefits 296-14 300 Various rules about mental conditions and mental disabilities.
Miscellaneous Services and Appliances 296-23 165 - 180 Various requirements for services and appliances
Naturopathic Physicians 296-23 205 - 215 Various regulations for naturopathic physicians
Nursing 296-23 241 Various regulations for nursing
Occupational Therapy 296-23 230 - 235 Various regulations for occupational therapy
Pathology - General Information and Instructions 296-23 155 Various requirements for pathology information and instructions
Rule Title/Topic Chapter Section Scope of Rule
Physical Therapy 296-23 220 Various regulations for physical therapy
Physician Assistants and Physical Therapy, Occupational Therapy and Massage Therapy 296-23
Preferred Worker Program 296-16 100 - 170 Various rules on employment of preferred workers.
Radiology 296-23 135 - 145 Various requirements for radiology
Reimbursement policies: Psychiatric services, biofeedback, physical medicine 296-21 Various rules for specific therapeutic procedures
Retrospective Rating for Workers' Compensation Insurance 296-17B
Rules for the administration of the crime victims compensation program 296-30 Various rules for the administration of the crime victims compensation program.
Special Assistant Attorneys General 296-14 900 - 940 Various rules on Special Assistant Attorneys General.
Rule Title/Topic Chapter Section Scope of Rule
Vocational rehabilitation 296-19A Various rules for vocational rehabilitation.
Waiver of Worker Overpayments 296-14 200 Waiver of recovery for worker compensation benefits overpayments.
Washington Stay-at-Work Program 296-16A
Worker Benefit Definitions 296-14 100 - 150 The definitions of worker benefits terminology used in this rule.
Worker Benefit Eligibility 296-14 400 - 420 Various rules on the eligibility benefit for workers.
Worker's Claim File Confidentiality 296-14 970 Rules on the confidentiality of a worker's claim file.
Workers' compensation self-insurance rules and regulations 296-15 Various workers' compensation self-insurance rules and regulations.

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