Billing Instructions for Providers
MCIT contracts with Rising Medical Solutions to review and pay medical bills related to workers’ compensation claims.
Pursuant to Minnesota Statutes, Section 62J.536, health care providers must submit bills and medical records electronically to Work Comp EDI. Contact Work Comp EDI at 1.800.297.6909 for assistance.
If you are unable to submit bills and medical records electronically, mail them to:
MCIT c/o Rising Medical Solutions
P.O. Box 1644
Milwaukee, WI 53201
Submit workers’ compensation health care bills to:
MCIT c/o Rising Medical Solutions
P.O. Box 1644
Milwaukee, WI 53201
Or fax to 866.767.3290
Keys to Workers’ Compensation for Health Care Providers
Health care professionals who treat patients for work injuries may be contacted from the patient’s employer and workers’ compensation claim representative. These conversations and sharing of information are meant to:
- Ensure that the injured employee receives the appropriate care as quickly as possible.
- Help determine if the injury is work related.
- Understand any work restrictions. These are communicated to the employer and coverage provider through your completion of the Report of Work Ability.
- Return the employee to work as quickly as possible to help promote recovery.
Resources for Health Care Providers
Submit medical records for the work injury to Work Comp EDI.
See top of page for billing instructions.
Submit requests for medical procedures with supporting documentation by fax to 209.6496.
Returning injured employees to work early positively affects their recovery, especially their mental, emotional and financial wellbeing. Returning employees to the workplace helps:
- Alleviate fears of what the future holds, particularly if the healing process is long.
- Reduces the individual’s anxiety, depression and feelings of isolation.
- Restores/maintains the employee’s identity as related to his or her work
The longer an employee is off of work, the more difficult it is to return him or her to the workplace.
How Health Care Providers Can Help
- Understand the physical requirements of the patient’s job by reviewing his or her current job description (request from patient or employer).
- Identify the patient’s physical restrictions in specific, functional terms, such as “can lift no more than 10 pounds” or “can stand for no more than 15 minutes per hour.”
- Complete the Report of Work Ability after each patient evaluation even if the patient does not ask for it.
- Explain to the patient the recovery benefits of returning to work and staying active.
Your role as the injured employee’s health care provider is significant in the claims process and the employee’s recovery. Follow these three steps when treating a patient covered by workers’ compensation:
- Determine the cause of injury: The mechanism of injury is important to the overall claim analysis, as well as the treatment plan. In addition, indicate any pre-existing conditions that may affect treatment or recovery, or that have been exacerbated by the injury.
- Determine maximum medical improvement or permanent disability: You may be asked to determine when the patient has reached maximum medical improvement or has a permanent disability due to the workplace injury. These determinations are important to the claim process. Maximum medical improvement is when the patient will likely gain no further significant or lasting improvement from the injury.
- Communicate with the MCIT claim representative: Promptly provide any requests for procedures with supporting documentation to MCIT by fax to 209.6496.
The report of work abilty form is used to assist employee, employer and the workers’ compensation provider (MCIT) understand work restrictions related to the employee’s work-related injury covered under workers’ compensation.