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Do private practice physicians treating workers compensation patients in an emergency room have to complete the C-4 for every workers compensation patient?

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Do private practice physicians treating workers compensation patients in an emergency room have to complete the C-4 for every workers compensation patient?

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No. Physicians can submit their usual billing form along with an emergency room report to the Board and the carrier. • We are a large practice and submit our claims for reimbursement to various carriers electronically using ANSI 837 electronic claims submission. Can we continue this practice, and if so, must we continue to submit C-4 forms to the Board and the carrier? You may continue filing ANSI 837 electronic claims to the carrier, however a completed C-4 form must also be submitted to the Board and the carrier.

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