Training: Health Care Providers

For a prior authorization request (PAR) or Request for Decision on Unpaid Medical Bill(s) (Form HP-1.0) to be processed, it must be first matched with a claim within the system.

Claim Search

To begin, enter the WCB Case Number or the Claim Administrator Claim Number.

Next, enter the information for two of the following four fields:

• Date of Injury
• Last Four of Social Security number
• Date of Birth
• Patient Last Name

Then select Search for Claim.

Matched Claim

When a claim is matched to the search information, search results will be displayed, and you may continue with your request.

Unmatched Claim

If a claim is not matched, check the criteria you entered or enter new search criteria and search again.

Request for Decision on Unpaid Medical Bill(s) (Form HP-1.0)

• If there is still no match, you will not be able to submit Form HP-1.0 until a claim can be matched.

PARs

• If there is no match for a PAR, you can continue with the submission by selecting the link to proceed without a matching claim, then enter the known patient and claim details.

  
• After your submission, the Board will attempt to match your request with an existing claim. If a claim is found, your request will be forwarded to the insurer's claim administrator for response.
• If a matching claim is not found within five days, your request will be closed, and you will be notified. The patient should then be instructed to submit a claim and notify their employer of their injury.