We can use nurse case managers (NCM) to coordinate care for Washington injured workers residing out-of-state.
Referrals are made by L&I claim managers to assist injured workers in finding needed health care resources in a timely manner. NCMs are privately employed professionals.
Injured workers continue to have a choice of attending provider
Referral is made to a NCM located near the injured worker. The NCM is familiar with the health care resources in that area, and they:
- Help the injured worker find health care resources.
- Help the health care provider understand our requirements.
- Make sure the provider:
- Has an L&I provider account number.
- Knows how to bill us
- Knows when and where to send progress reports.
- Makes sure the provider gets any needed information from us.
NCM policies and billing information is available on the current fee schedule.
Injured workers can find a doctor in their area using the Find a Doctor lookup tool. The search criteria includes provides type, specialty, and zip code. Search results display the providers name, address, and phone number. Note: Not all listed providers are willing or able to accept a patient.
- Managing claims - Information to assist providers in managing claims.
- Fee schedule - Rules and fee schedules for health care providers treating injured workers.
- Billing L&I - Information on how to submit bills to L&I and check the status of your payment.
- Pharmacy Billing - Bill L&I for pharmacy services.
- Treatment Guidelines - Information to assist doctors in treating injured workers.
- Provider Accounts - Becoming an L&I provider.
- Forms and Publications - Forms or publications specific to providers.
Prosthetics may be replaced or repaired on a closed claim. Call the claim manager for assistance.
File an Application to Reopen Claim Due to Worsening Condition to apply to reopen a closed claim.
Although a pension claim is closed, it may have a treatment order. Call the claim manager to check on the status of a pension claim and what treatment will be covered. Scheduled drugs are not covered on a pension claim.
We have staff available to discuss general, and case specific questions.
|Staff resource||Contact information|
|Out-of-state claim managers||360-902-5599|
|Out-of-state claim supervisor||360-902-6087|
|Occupational nurse consultant||360-902-4382|
|Out-of-state vocational consultant||360-902-6203|
|Preferred drug list hotline||1-888-443-6798|