This service offering provides employers participating in the Deductible Program a detailed list of all claim payment transactions for a specific claim. Employers can download/print this list. Below are some definitions that will help you better understand the list.

• 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.
• Invoice/Benefit type - this column will show what kind of payment was made, e.g., doctor bill, TT payment, 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