Resources

The Lookup Claim application allows a medical provider to search for a WSI claim number and obtain important claim-related information, such as the date of injury, claim status, and body part. 

WSI communicates updates through Medical Provider News, which covers information on the agency, billing, pharmacy services and utilization review. To sign-up for email notifications of the latest Medical Provider News, click here.

To review previously published news articles, click here.

Billing

• 837I to UB-04 Crosswalk
• 837P to CMS-1500 Crosswalk
• How to Read the WSI Remittance Advice
• Quick Reference for Electronic (EDI) Billing
• Quick Reference for Medical Documentation
• WSI Remittance Advice Reason Codes

Pharmacy

• First Fill Product Exclusions
• Formulary/Medication Restrictions list
• Pharmacy Quick Reference
• Quick Reference for WSI Pharmacy Services
• Sample Pain Management Contract
• Service Guide for Pharmacies

Utilization Review

• Durable Medical Equipment (DME) Guide
• Prior Authorization Guide

Miscellaneous

• Quick Reference for Chiropractors
• Quick Reference for Dental Providers
• Quick Reference for myWSI
• Quick Reference for New Providers
• Quick Reference for Physical Therapist as Primary Treating Provider
• Quick Reference for Physical & Occupational Therapists

Workforce Safety & Insurance is governed by Title 65 of the North Dakota Century Code and Title 92 of the North Dakota Administrative Code (NDAC). The below provides the specific sections of NDAC pertaining to medical providers. 

Billing 

• Acceptance of Rules and Fees:  N.D.A.C 92-01-02-29.2 
• Organization Responsibilities: N.D.A.C 92-01-02-45 
• Provider Responsibilities and Billing:  N.D.A.C 92-01-02-45.1 
• Elements of Filing:  N.D.A.C 92-01-02-48 
• Medical Services Disputes:  N.D.A.C 92-01-02-46 
• Electronic Billing Responsibilities:  N.D.A.C 92-01-02-45.2 
• Medical Necessity:  N.D.A.C. 92-01-02-29.1 

Pharmacy 

• Provider Responsibilities and Billing:  N.D.A.C 92-01-02-45.1 
• Pharmacy Services Disputes:  N.D.A.C 92-01-02-46.1 

Prior Authorization 

• Medical Services Disputes:  N.D.A.C 92-01-02-46 
• Utilization Review and Quality Assurance:  N.D.A.C 92-01-02-33 
• Treatment Requiring Authorization:  N.D.A.C 92-01-02-34 

Registration 

• Provider Responsibilities and Billing:  N.D.A.C 92-01-02-45.1(1) 

Click here to learn about the myWSI Provider dashboard

Click here to learn how to access and export WSI bill status details through myWSI

Click here to learn how to upload medical records in myWSI

Click here to learn how to update your provider information in myWSI

WSI is committed to providing education to the medical provider community. To request a visit or discuss educational opportunities, click here.