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Good Afternoon
1:34:52 PM CDT
Thursday, April 17, 2014

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Treating an Injured Worker

Topics ICD-9 Forms & Publications Medical Provider's Guide
Treating An Injured Worker Treatment Guidelines First Report of Injury (FROI) Form  
Claim Information Claim Number Lookup Capability Assessment form (C3)  
Medical Treatment Medical Provider Appeal Process Medical Services Dispute Resolution Request (M2)  
Subsequent Treatment   Provider Request for Adjustment (M6) form  

Claim Number Lookup
WSI has an online feature which allows providers to look up claim numbers.

This feature can be accessed by following these steps:

  • Visit the website at www.WorkforceSafety.com
  • Click on the “Medical Provider” section on the left side of home page
  • Click on the “Claim Lookup” link
  • Type in the Social Security number (no dashes)
  • Type in the date of injury (DOI) using the following format: mm/dd/yyyy
  • Click on “lookup”

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