This service offering allows participants in the Deductible Program to see a summary
of their monthly invoices including the amount billed for each month. They can
also download a detailed list of all the claim payment transactions for a specific
month.
Summary
This screen shows all the months in which we've sent you a bill. You can click
on the name of a particular month to view a list of program years to which the
transactions in this bill apply.
Applicable program years
This screen shows all the program years with claim payment transactions
included in the selected month's invoice. You'll also see the deductible amount
you selected and the amount we've billed you so far for that program year.
In addition, you can download a list of all the claim payment transactions
included in this particular month's bill and the program year to which they apply.
Note: You'll only see claim payment transactions that apply up to
your deductible.
- Claim costs as of - The total amount we've paid on a specific claim and
the total amount we've applied to your deductible as of the beginning of the month
(See BWC paid amount and Applied to deductible columns)
- Monthly total - The sum of the payments we've made on the claim and
the sum of the amounts applied to your deductible for this month
- Ending claim cost total - the Claim costs as of (the start of the month) +
the Monthly total
- Monthly total for [] program year - The sum of the payments we've made on the
claim and the sum of the amounts applied to your deductible this month for the
program year identified
- Policy number - BWC-assigned number used to identify and track an employer's policy
- Deductible program year - Year in which the specific claim payment
transaction applies
- Claim number - BWC-assigned number used to identify and track an injured
worker's injury
- Date of injury - Date the injury or occupational disease occurred
- Pay type - Depending on the number of workdays missed, the claim will
be coded as lost time (LT) or medical only (MO). MO claims have seven or fewer
days missed from work and LT claims have eight or more days missed from work.
- Claim status - Current status of the claim, e.g., allowed, disallowed, etc.
- Benefit type/Adjustment type - Indicates what kind of payment was made, e.g.,
doctor bill, compensation payment (TT), etc.
- BWC paid date - The month, day and year BWC made the payment
- Date of service (Med)/Date of disability (LT) from date - Month, day and year
the service or disability began
- Date of service (Med)/Date of disability (LT) to date - Month, day and year
the service or disability ended
- BWC paid amount - Amount we paid for the benefit
- Applied to deductible - Amount we applied to your deductible
Note: This can be different from the BWC paid amount if you've reached
your deductible during the month
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