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Who is eligible for Worker's Compensation Benefits?

Who is eligible for Worker's Compensation Benefits?

WCB Mission Statement

To provide efficient dispute resolution for injured workers and employers by administering both formal adjudication and informal dispute resolution services; to serve  the public by answering inquiries regarding the Indiana Worker's Compensation system; and to collect statistical information regarding workplace injuries in Indiana.

News and Notices

 

Website Notices 4/17/2018

The Board will be implementing a new protocol for submitting “C” claim settlement documents in the near future.  The legal environment surrounding Indiana worker’s compensation cases is changing.  We are seeing many more settlements.  Fewer cases are resolved through hearings.  Therefore, once we have the internal processes in place, documents submitted for approval in “C” claims will go to the respective Single Hearing Members. Please disregard any documentation you may have seen, as the Board has not finalized anything in this regard. Thank you.

 

The Board will be transitionaning to EDI Version 3.1 on 1/1/2019. You can see more information here

 

New Nurse Case Manager Guidelines can be found here.  These replace those previously posted on this website.

 

Website Notices 1/2018

Denial of a Provider Fee Application or refusal to pay a bill from a medical provider for authorized care provided to an injured worker based solely on 631 IAC 1-1-32 (2)(A)(i) is improper.  Provisions in the Indiana Administrative Code are rules authorized by IC 22-3-1-3 to assist the Board in carrying out the Worker’s Compensation Act, not laws themselves.

Medical providers may use the following link available through the Board’s online services to ascertain the name of an injured worker’s employer, worker’s compensation insurance carrier and that carrier’s claim identification number, when available.

No audio or visual recording may be made of any worker’s compensation hearing, conference or proceeding.

Social security numbers (SSN) of injured workers must be redacted from all documentation prior to submission to the Board. The Application for Adjustment of Claim is the only exception to this requirement.

 

Website Notices 12/2017

The Second Injury Fund Annual Report and 2018 Assessment has been issued here

 

Website Notices 7/2017 - New Compliance Efforts

Indiana is set to formally begin its enforcement protocol concerning the untimely filing of statutorily required forms and payment of benefits.

There will be a grace period on penalties through September 30, 2017.  During this period, carriers and third party administrators will receive letters and notice of actions found to be in violation of IC 22-3-3-7, 22-3-7-16, 22-3-4-13(a) and 22-3-7-37 so that appropriate remedies can be put in place. We also encourage your comments and concerns with this process so they may be addressed by the Board prior to October 1st, 2017.

For all injury dates on or after October 1, 2017, penalties will be assessed. Pursuant to IC 22-3-4-15 escalation of penalties will apply where more than one violation occurs in a single cause concerning the same injured worker and the same injury date.

In the future, violations of 631 IAC 1-1-26 shall also become the subject of notice by the Board. I ask that you look at your practices to make sure they comply with the 15 day time frame.

Thank you for all you do to get injured workers treated and back to work,

Linda Hamilton, Chairman

 

 

See Past News and Notices