Medical Providers

All medical billing should be in accordance with the guidelines and ground rules of the New York State Workers' Compensation Board Medical Fee Schedule and Workers' Compensation Board (WCB) Rules and Regulations.

All physicians licensed to practice medicine in the state of New York may render emergency care. However, in non-emergency situations physicians MUST be authorized by the WCB to treat workers' compensation claimants.

When claimants are receiving WC medical and compensation benefits, their medical bills should only be sent to the WC insurance carrier. Compensable injury treatment and medical services rendered are not to be processed through major medical insurance coverage or Medicare.

Learn more:

Online printable Explanation of Benefits (EOB)

Medical Provider & Claimant Information Needed for Medical Bill Submission

Electronic Receipt of Medical Bills and Accompanying Reports

Required Medical Bill Treatment & Diagnosis Information

Review Explanation of Benefits