Injured Workers

 

You have experienced an on-the-job injury. Now what? First, you need to report your injury to your Supervisor. They will fill out a C-2F form and submit it to us. You will be given a claimant information packet. This packet contains information for your records as well as Forms that you will need to fill out. If your injury requires medical treatment beyond first aid, make sure to inform your medical provider that this was a Workers’ Compensation injury. DO NOT BILL ANYTHING THROUGH YOUR PRIVATE INSURANCE. DO NOT PAY FOR ANYTHING OUT OF POCKET.

 

Once your injury has been reported to us, you will be assigned a Carrier Case Number (Claim Number). Give this number to your medical provider so that they can bill us properly. You will receive a prescription card from our vendor PMSI/Tmesys for any medications you may need as a result of your injury. This card is accepted at most pharmacies for your convenience. The more information we have, the better able we are to ensure that you receive the care you need.

 

 

 

 

 

If you require diagnostic testing such as an MRI, EMG, etc., you can set up your exam through our network, One Call Care Management.

 

 

 

 

If you have any questions during this process, please feel free to call us at (800) 337-7419. Check for Frequently Asked Questions from the Worker’s Compensation Board’s Web Site.

 

 

 

 

If you would like a friend or family member to be able to communicate with us concerning your claim, please execute this form and forward to us via fax or e-mail.