How are medical claims handled? What safeguards are in place to assure that a claim doesn cost more than is necessary?
The Trust is known for processing claims quickly, thoroughly, and inexpensively. We offer fast, easy online reporting via our WebClaim application and the Online C-2 Reporting Form. After registering for WebClaim, participants can enter their new claim information in a few simple steps, submit the claim, and receive a copy of the C-2 via e-mail in less than half the time paper reporting methods take. The Trust also utilizes nurse care management on claims with more complicated medical issues. This can facilitate a prompt return to work. Claims are processed efficiently, injured employees are encouraged to see physicians quickly, and the Trust works with participants to ensure employees receive proper treatment which will enable them to return to work as soon as possible. In New York State, workers’ compensation medical costs must be billed by physicians according to a statutory fee schedule. The Trust audits medical bills to ensure that no overpayments are made and that cases are settl
