Workers' compensation claims process
When an employee is injured at work, the claims process can feel overwhelming. Know that 华体会 is here with you, every step of the way to help achieve the best claims outcome possible. Check out the seven steps below to better understand the process, from start to finish.
Claims resources
Whether you鈥檙e an employer, employee or provider, 华体会 has resources to support you during the claims process. If you have questions regarding coverage or need additional assistance, please contact us at 800-628-0250.
Employers | |
Employees | |
Providers | Submit claim-related medical bills, along with supporting clinical documentation to: Hanover Insurance c/o Medata, P.O. Box 62409, Irvine, CA 92602-6080.
Utilization reviewIf utilization review is required in the jurisdiction, please direct requests to Medata Contact Center:
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Pharmacy network | Optum has been chosen to manage workers鈥� comp pharmacy benefits for employers and their employees who have been injured. To fill a prescription for a work-related injury, go to an Optum Tmesys network pharmacy using a . In most cases, the pharmacy will fill the prescription at no cost to you. Certain medication may require preauthorization prior to dispensing. If your workers鈥� compensation claim is accepted, you will receive a permanent pharmacy card in the mail. Most pharmacies and all major chains are included in the network. To find an Optum Tmesys network pharmacy or ask a question, call 888-764-4844 or visit . |
Ancillary scheduling services | If a physician requests additional services, please contact one of the following resources to assist you: Physical therapy
Radiology/imaging
Durable medical equipment
Transportation/translation
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