Services not Reimbursable by WSI

<< All News Friday, March 2, 2018 - 08:00am Categories:
Medical Provider News Archive

WSI does not provide reimbursement for services considered unnecessary to treat or diagnose a compensable work injury.  This includes services generally considered preventive.  Below are some examples of the services billed to WSI in error. 

Services unnecessary to treat a work injury:

  • Treatment for communicable diseases (e.g. common cold)
  • Treatment for seasonal disorders (e.g. allergies)
  • Treatment for pre-existing conditions (e.g. diabetes)

Services generally considered preventive:

  • Flu vaccine
  • Mammogram
  • Pap smear

There are circumstances in which a provider may render one or more of these services concurrently with the treatment of a work injury.  If this should occur, a provider should not bill WSI for the services unrelated to the work injury.  For these services, it is appropriate for a provider to pursue direct reimbursement from the patient or other insurance.

If you have questions about this article, please send an email to To receive provider news, subscribe to our Email Updates list.

<< All News