Service

Old Requirement

Current Requirement

Deadline

 Form / Requirements Link

Medical Bill

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CMS-1500 & Narrative Report

Within 90 days of the last day of the month in which services are rendered.

Narrative Report Instructions

Initial Report

Doctor's Initial Report (Forms C-4, EC-4)

CMS-1500 & Narrative Report

Within 48 hours of the first treatment.

Initial Narrative 

Progress Report

Doctor's Progress Report (Forms C-4.2, EC-4.2)

CMS-1500 & Narrative Report

Within 15 days after the initial report

For each follow-up visit scheduled when medically necessary while treatment continues but not more than 90 days apart.

Subsequent Narrative

MMI Report

Doctor's Report of MMI / Permanent Impairment (Form C-4.3)

Doctor's Report of MMI / Permanent Impairment (Form C-4.3)*

This reporting requirement remains unchanged.

When rendering an opinion on MMI and/or permanent impairment;

In response to a request by the WCB to render a decision of MMI and/or permanent impairment.

C-4.3 

PT/OT

Occupational Therapist's / Physical Therapist's Report (Forms OT/PT-4, EOT/PT-4)

CMS-1500 & Narrative Report

Within 48 hours of first treatment.

Within 15 days after treatment is first rendered.

At 90 day intervals while continuing treatment.

PT/OT Narrative

Ophthalm- ology

Attending Ophthalmologist's Report (Form C-5)

CMS-1500 & Narrative Report

Within 48 hours of first treatment.

Within 15 days after treatment is first rendered.

At 90 day intervals while continuing treatment.

Ophthalmology Narrative

Psychology

Psychologist's Report (Form PS-4)

CMS-1500 & Narrative Report

Within 48 hours of first treatment.

Within 15 days after treatment is first rendered.

At 90 day intervals while continuing treatment.

Psychology Narrative