|
Workers' Compensation Claim - A claim for which payment is made by an employer for medical services provided to an employee for an injury or illness occurring in the course of the individual's employment.
To verify the employer's responsibility for payment, it is recommended that the patient obtain an authorization for workers' compensation payment from the employer.
Edward will submit your workers' compensation claim directly to your employer (or other payor as directed by the employer) on your behalf. The provider will follow-up with your employer for payment of non-disputed charges. Your employer may require you to provide additional information regarding your injury or illness. Delays in providing this information could result in denial or reduction in benefits. Please respond promptly to these requests.
You may be responsible for payment of services your employer determines are not approved under workers' compensation. If you file an appeal through the Illinois Workers' Compensation Commission, the provider will hold your claim pending receipt of a copy of the appeal letter. Once the provider has received the appeal letter, then the claim will be held pending the outcome of the appeal. If it is determined that your claim is not covered by workers' compensation, the provider will submit your bill to your group health plan if you have provided the information.
If you have a question about your workers' compensation account and would like to contact a customer service associate, call our Patient Accounts Department at (630) 527-3100 or (800) 346-7513 (toll-free), or email pacustomer@edward.org.
|
