Washington Instructions for Filing Claims (PDF)

State:
Washington
Control #:
WA-SKU-1072
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PDF
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Description

Instructions for Filing Claims (PDF)

Washington Instructions for Filing Claims (PDF) is a document created by the Washington State Department of Labor & Industries. It provides information for individuals or businesses on how to file a claim for workers' compensation in Washington State. The document outlines the process and the necessary documents required for filing a claim, such as the claim form, medical and wage records, and any other evidence. It also provides instructions on how to appeal a denied claim, as well as the process for requesting a hearing before a workers' compensation judge. There are three types of Washington Instructions for Filing Claims (PDF): Workers' Compensation Claim Filing Instructions, Employers' Claim Filing Instructions, and Physicians' Report of Injury Filing Instructions.

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FAQ

If you applied with a paper application, you submit weekly claims by calling the Customer Care Team. If you applied online, file your weekly claims by logging in to your Paid Leave account.

Online via our FileFast tool. By phone: 1-877-561-FILE (3453) At your doctor's office (if you complete the Report of Accident at your doctor's office, the doctor files the form for you)

Please note that you can submit electronic or paper claims. CHPW accepts electronic claims via the Availity Clearinghouse.

Instructions on how to file a Tort Claim can be located at File a Tort Claim on the DES Web Site or by calling ORM Customer Service at (360) 407-9199.

In Washington state, you generally have three years to file your personal injury lawsuit after the date of the accident. Your lawyer will tell you whether to file sooner than the statute of limitations' three-year deadline, but as long as you get those papers filed before the three-year mark, you're in good shape.

The Washington State Tort Claim form may be filed online, by fax, by mail or in person. Submit online. Submit a tort claim online securely.Submit by fax.Submit by mail.Submit in person.Checklist for filing your Washington State Tort Claim form. Frequently Asked Questions.

File a claim online with FileFast (24-hours per day). Workers can also file by phone at 1-877-561-FILE (3453) Monday ? Friday, 8 a.m. ? 5 p.m.

File a claim online with FileFast (24-hours per day). Workers can also file by phone at 1-877-561-FILE (3453) Monday ? Friday, 8 a.m. ? 5 p.m.

More info

Items 14 - 33 — Providers may use these instructions to complete this form. Complete this form.In addition, where needed, additional instruction is provided throughout this manual for submitting paper claims. The Center of Medicaid and Medicare Services (CMS) form 1500 must be used to bill SFHP for medical services. Refer to the Provider Manual for complete instructions on submitting appeals. Section 2: Institutional Claim Billing Instructions . Use Form 843 to claim a refund or request an abatement of certain taxes, interest, penalties, fees, and additions to tax. Note. When electronically filing Form. X to amend a Form NR, complete Form X in its entirety. It provides a detailed overview of the plan: how it works, what benefits it provides, how to file a claim for benefits, and any limitations that may apply.

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Washington Instructions for Filing Claims (PDF)