Claims Information
Frequently Asked Questions
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How can I find out if Beacon is the carrier?
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How can I get paid for the DWC29, DWC 27/28, MAB01, MAB01a?
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What if a claim is denied? Who will pay for the visit(s)?
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If my regular fee for service is more than the R.I. Fee Schedule allows, can I charge the injured worker for the difference?
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What do I do if an injured worker is a “no show”?
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Can I charge for a “no show” visit?
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What are the benefits of Nurse Case Management (NCM)?
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| 8. |
Where can I find out about the Department of Labor and Training forms and filing procedures?
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| 9. |
Where can I find the “Fee Schedule”
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| 10. |
Where can I find the Medical Advisory Board (MAB) forms and the filing procedure?
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| 1. |
How can I find out if Beacon is the carrier?
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If the identity of the insurer is unknown, contact the Department of Labor and Training at at 1-401-462-8116.
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| 2. |
How can I get paid for the DWC29, DWC 27/28, MAB01, MAB01a?
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Bill on the HCFA1500 using code 99080 for special reports.
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What if a claim is denied? Who will pay for the visit(s)?
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We recommend obtaining the information from the injured worker regarding the health insurance carrier when the injured worker initially completes the paperwork. If the claim is denied you can then bill the injured worker’s regular health insurance for the visit(s).
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| 4. |
If my regular fee for service is more than the R.I. Fee Schedule allows, can I charge the injured worker for the difference?
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No. That would be considered “balance billing”, which is not allowed under workers’ compensation law. Direct any questions that you have to the Department of Labor and Training at 1-401-462-8100.
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| 5. |
What do I do if an injured worker is a “no show”?
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Please notify The Beacon claims representative as soon a possible.
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| 6. |
Can I charge for a “no show” visit?
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No. But if a patient becomes non-compliant according to your office policy, the DWC27/28 can be used to notify The Beacon that a patient has been discharged for non-compliance. List the missed appointment dates. Bill on a HCFA 1500 using the 99080 code for special reports.
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| 7. |
What are the benefits of Nurse Case Management (NCM)?
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Assists the injured worker to achieve the highest level of medical improvement, and facilitates a successful return to work in the safest, most cost effective manner. NCM is provided on a case-by-case basis. NCM provides patient advocacy. Facilitation of communication and education. Provides an overview of the “Big Picture” Provides access to appropriate and timely resources.
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| 8. |
Where can I find out about the Department of Labor and Training forms and filing procedures?
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Click Here for Answer
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| 9. |
Where can I find the “Fee Schedule”
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Click Here for Answer
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| Back to the Top |
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| 10. |
Where can I find the Medical Advisory Board (MAB) forms and the filing procedure?
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Click Here for Answer
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