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MEDICAL ASSESSMENT FEE

An employer is responsible for a portion of the medical expenses for each worker’s compensation claim filed. Employers are billed monthly for assessable claims costs paid during the previous month.

An employer is responsible for the first $250 of medical expenses if an injury occurs and the claim is received by WSI or filed by a medical facility within 2-14 calendar days after the injury date.

An employer is responsible for the first $350 of medical expenses if an injury occurs and the claim is received by WSI or filed by a medical facility more than 14 calendar days after the employer notification date.

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WAIVING OF MEDICAL ASSESSMENT FEE

WSI offers an early reporting incentive and may waive the assessment charge if an incident report or claim is filed with WSI by midnight (central time) of the next WSI business day following the injury date.

WSI will waive the assessment fee if:

  • A claim is filed with WSI by midnight (central time) of the next WSI business day following the injury date.
  • An incident report is filed. If a worker reports an incident, but does not seek immediate medical attention, the employer should file an Incident Report. In order to qualify for the $250 waiver, the incident should be filed by midnight (central time) of the next WSI business day following the injury date. If that worker later seeks medical attention and a claim is received by WSI within 14 calendar days of the incident, the $250 assessment charge will be waived. Without the filing of the Incident Report, the $250/$350 medical assessment will still be charged if a claim is eventually filed.