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Washington L&I Medical Provider Network Credentialing Checklist

State:
Washington
Control #:
WA-SKU-3694
Format:
PDF
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Description

L&I Medical Provider Network Credentialing Checklist

Washington L&I Medical Provider Network Credentialing Checklist is a document used to ensure that medical providers meet the standards to participate in the Washington L&I Medical Provider Network. The checklist includes requirements related to provider qualifications, experience, and insurance coverage. The types of Washington L&I Medical Provider Network Credentialing Checklist include: 1. Initial Credentialing Checklist: Used for providers who are new to the network and are seeking to become credentialed. This checklist includes items such as verifying provider qualifications, license and certification information, malpractice insurance coverage, and other relevant information. 2. Re credentialing Checklist: Used for providers who are already credentialed and need to be recredentialed. This checklist includes items such as confirming that the provider’s license and certification information are still valid, verifying malpractice insurance coverage, and other relevant information. 3. Revalidation Checklist: Used for providers who have been suspended or terminated from the network and need to be revalidated. This checklist includes items such as verifying provider qualifications, license and certification information, malpractice insurance coverage, and other relevant information.

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FAQ

Employers purchase coverage through the Department of Labor & Industries (L&I). L&I manages all claims and pays benefits out of an insurance pool called the Washington State Fund. The fund is financed by premiums paid by employers and employees, not by general revenue taxes.

L&I manages all claims and pays benefits out of an insurance pool called the Washington State Fund. The fund is financed by premiums paid by employers and employees, not by general revenue taxes.

L&I maintains a list of self-insured employers. Your employer or their representative handles your paperwork and pays for the claim. They will give you a Self?Insurer Accident Report (SIF?2) form. Fill out the form completely and return it to your employer or their representative.

Contact the Washington State Department of Labor & Industries for information about agency programs and services in your language at 1-800-547-8367. Once you are on the phone, please hold a moment while we call an interpreter to help us.

L&I adopted a 4.8% overall average premium rate increase to workers' compensation insurance premium rates beginning January 1, 2023, and adjusting each industry risk classification rate to align with expected losses.

Here's how L&I calculates the premium rate for each of the business's risk classifications: Multiplying the business's experience factor by the sum of the Accident Fund, Medical Aid Fund, and Stay at Work base rates, and then. Adding the base rate for the Supplemental Pension Fund.

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Washington L&I Medical Provider Network Credentialing Checklist