Web Bill Processing Portal

Web Bill Processing Portal - Home

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Please enter the portal by selecting a user type associated with one of the following programs:
Provider
Claimant
Agency

Provider

Provider

Claimant

Claimant

Home | Conduent Contact Info | Portal FAQ | Forms & Links | FECA & DEEOIC Fee Schedule

Welcome to the DOL OWCP Web Bill Processing Portal
The site provides functionality for the following Department of Labor Office of
Workers' Compensation (OWCP) programs:
• Federal Employees' Compensation Act (FECA)
• Division of Coal Mine Workers' Compensation (DCMWC)
• Division of Energy Employees Occupational Illness Compensation
(DEEOIC)
To enter a program, click the appropriate link displayed above.

New
Provider Enrollment Training Presentation
• How to Complete a Provider Enrollment Application Tutorial
(Individual)
• How to Complete a Provider Enrollment Application Tutorial
(Facility)
• How to Complete a Provider Enrollment Application Tutorial
(Group)
• How to Complete an ACH Vendor Payment Form Tutorial
• Provider Brochure
Available Features

• DEEOIC Claimant Status Page
• Online Provider Update
• Medical Bill Submission (FECA program only - Contract nurses
and vocational rehabilitation counselors)
• Medical Bill Inquiry
• Eligibility Inquiry
• Medical Authorization Request (FECA & DEEOIC Programs)
• Medical Authorization Inquiry
• Provider Payment Status Inquiry
• Provider Search
• DFEC Automated Adjustments Process
• Treasury Mandate March 1, 2013
• Attention DEEOIC Providers:
• Submit Transportation and Travel Authorization Requests Online
• DEEOIC Prior Authorization Requirements
• Automate J-Code Process
• Align Networks - Clarification Statement effective 04/05/2012
• DCMWC Billing Update
• HIPAA Version 5010 Readiness Status
• DEEOIC Impairment Evaluations
• DFEC Return Check Process Update
• Approved Submitters for FECA, DCMWC and DEEOIC Can
Submit Bills Electronically

https://owcpmed.dol.gov/portal/main.do

HELP

Latest Developments

DFEC Announcement: Non-Covered NDCs (FDA
Medical Devices)
Beginning February 22, 2019, in accordance with the discretion
granted to DOL and delegated to the Office of Workers'
Compensation Programs (OWCP), the Division of Federal
Employees' Compensation (DFEC) is instituting a new policy to
deny payment of a select group of FDA Medical Devices. The
list of items to be denied will be identified by National Drug
Code (NDC). Any bill identified as containing a charge for any
such non-covered NDC will be denied in its entirety. A listing of
non-payable NDCs will be available on DFEC's website at
https://www.dol.gov/owcp/dfec/.

DFEC ANNOUNCEMENT- FIRST SCRIPT/FECA
PHARMACY BENEFIT PROGRAM IS MANDATORY
FOR ALL FECA CLAIMANTS
PRESCRIPTIONS The Department of Labor's Office of
Workers' Compensation Programs Division of Federal
Employees' Compensation (OWCP DFEC) has contracted with
First Script to serve as DFEC's Pharmacy Benefit Manager
(PBM) for claimants covered under the Federal Employees'
Compensation Act (FECA). First Script/FECA pharmacy cards
and welcome letters will be mailed to FECA claimant in a
phased approach. On January 3, 2019, welcome packets were
mailed to claimants who have been prescribed opioid
medication(s) with daily dosages exceeding the 90 MED
(Morphine Equivalent Dose) due to urgent safety concerns. Use
of the First Script/FECA pharmacy program is mandatory for
FECA claimants; otherwise, payment of drugs cannot be
authorized at the pharmacy..
In order to fill a prescription, FECA claimants should present the
cards enclosed in the welcome packets to a participating
pharmacy along with a prescriptions for an accepted FECA
work-related injury. FECA claimants can search for participating
pharmacies on the web at www.feca-pbm.dol.gov. When filling
work-related injury prescriptions, generic medications are
generally used as a more affordable alternative to brand name
drugs unless the claimant's physician has otherwise indicated.
First Script will assist in transitioning a FECA claimant's retail
pharmacy prescriptions to their voluntary mail order program.
FECA claimants should contact First Script at 877-344-3811 for
complete assistance with any questions related to the First
Script/FECA PBM.
DURABLE MEDICAL EQUIPMENT Use of First Script/FECA
for durable medical equipment, medical supplies, and ancillary
services is voluntary. United States Postal Service (USPS)
employees/claimants seeking durable medical equipment,
medical supplies, and ancillary services should contact the
USPS directly to obtain additional information on how to obtain
these services.

DCMWC Announcement: Final Rulemaking on
Medical Benefit Payments
On June 14, 2018, the Office of Workers' Compensation
Programs Division of Coal Mine Workers' Compensation issued
a final rule governing the Black Lung Disability Trust Fund's
payment of medical benefits under the Black Lung Benefits Act.
The final rule adopts modern payment formulas for physicians,
hospitals and other providers; codifies the black lung program's
current practices for payment of prescription drugs and the
submission of medical bills for payment; provides greater clarity

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• Schedule II Drug Program Changes for FECA

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about fees paid to providers; and prohibits providers from
seeking additional payments from miners for covered services
that have been paid by the Trust Fund. The regulations will be
effective August 31, 2018. Rules governing payment of
professional medical services and outpatient medical services
have a delayed application date and will apply to services
rendered after November 30, 2019. More information is
available at: https://www.dol.gov/owcp/dcmwc/

Home HealthCare Prior Authorization Web Portal
Status Update
Effective 5/22/2018, providers may notice a change in the timing
of viewable pending authorizations regarding home health care
services upon logging into the web bill processing portal. This
change is the result of a system enhancement to improve
electronic communications between Conduent and DEEOIC. A
"Pending" status will indicate that the request is under review by
a Medical Benefits Examiner (MBE). Subsequent determination
(Approval/Denial) will follow as appropriate. For the status of an
emergent care request, providers may continue to contact
Conduent's Customer Service or the respective Medical
Benefits Examiner as applicable.

DFEC - Billing Unspecified J Codes (J3490, J3590,
J7999, J8499, J8999, and J9999)
Beginning June 1, 2018, payment for medications billed under
these codes will require prior authorization by DFEC claims
staff. A strict exception based policy is described in FECA
CIRCULAR 18-06, which can be found on the DFEC website at
https://www.dol.gov/owcp/dfec/medicalprovider.htm.
Prior
authorization may be requested by utilizing the Unspecified J
Code Authorization Request, which is available at
https://owcpmed.dol.gov . This is the only method available for
requesting prior authorization. Bills for these codes received on
and after June 1, 2018 without prior authorization will deny.

DEEOIC Home Health Care Update: T1001- Nursing
Assessment/Evaluation
Effective June 11, 2018, T1001 will no longer require prior
authorization. T1001 is the HCPCS billing code utilized to
identify an assessment/evaluation conducted by a nurse.
Providers will still be required to submit the treating physician's
prescription and/or Letter of Medical Necessity along with the
nurse's assessment report with their claims upon billing for
services rendered.

DFEC Announcement: Non-Covered NDCs
Beginning February 28, 2018, in accordance with the discretion
granted to DOL and delegated to the Office of Workers'
Compensation Programs (OWCP), the Division of Federal
Employees' Compensation (DFEC) is instituting a new policy to
deny payment of a select group of Pharmaceutical and NonPharmaceutical items. The list of items to be denied will be
identified by National Drug Code (NDC) and includes, but is not
limited to, convenience kits. Any bill identified as containing a
charge for any such non-covered NDC will be denied in its
entirety. A listing of non-payable NDCs will be available on
DFEC's website at https://www.dol.gov/owcp/dfec/.

DEEOIC: New Policy - Effective 1/16/2018
Effective January 16, 2018, the Division of Energy Employees
Occupational Illness Compensation Program (DEEOICP) is
changing how it evaluates requests for Physical therapy,
Occupational therapy, Speech therapy, and other rehabilitative
therapy services. A DEEOIC Policy Bulletin has been published
that explains the changes in more detail. The Bulletin includes
guidance relating to initial therapy assessments, medical
evidence necessary to support requests, maximum levels of
coverage and locations where therapy can occur. Requests for
rehabilitative therapy authorization may continue to be faxed to
800-882-6147.

Conduent URL Change
Effective
December
31,
2017,
the
URL
address
https://owcp.dol.acs-inc.com will no longer be valid for access to

https://owcpmed.dol.gov/portal/main.do

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the Web Bill Processing Portal. The new URL address will be
https://owcpmed.dol.gov

Conduent Email Addresses
Effective August 1, 2017, email addresses ending with
@xerox.com will no longer be valid for contacting Conduent.
Conduent email addresses end in @conduent.com.

DEEOIC Announcement- Enteral Formula
Effective May 1, 2017, Enteral Formula (Nutritional
Supplements) now requires prior authorization. Enteral formulas
are liquid preparations used for nutritional supplementation or
replacement in patients who are unable to obtain adequate
nutrition through their regular diet. These formulas are taken by
mouth or through a feeding tube, and are used by the body for
energy and to form substances needed for normal bodily
functions. Failure to obtain prior authorization may delay
reimbursement or result in a denial. Please click here to review
this update.

DFEC Opioid Medication Letter of Medical Necessity
Requirements
Beginning in August 2017, the Office of Workers' Compensation
Programs
(OWCP) Division of Federal Employees'
Compensation (DFEC) will require claims with newly prescribed
opioid use (i.e. claims where an opioid has not been prescribed
within the past 180 days, if ever) to have a completed and
approved Letter of Medical Necessity (LMN) form on file for
prescription authorizations after an initial 60 day period.
Additionally, compounded medications containing opioids will
require a completed and approved LMN prior to dispensing,
effective June 26, 2017. This form will be made available to
registered
providers
beginning
in
June
2017
at
https://owcpmed.dol.gov/portal/main.do. To submit the form,
providers must click on the 'Provider' Link to the right of the
FECA oval located at the top left of the home page, login with
their user ID and password, and then click on the 'LMN
Documents' link located in the left menu bar. For providers not
yet registered, after clicking the 'Provider' link, click the 'Web
Registration' link located in the left menu bar to register for web
access. For providers not yet enrolled, click on 'Forms & Links'
in the horizontal menu at the top of the home page to download
the Provider Enrollment form and instructions. Authorizations for
opioid medications will be limited to a maximum of 60 days, with
initial fills and refills to be issued in no more than 30-day
supplies. Beneficiaries already receiving opioid prescriptions will
not be subject to the LMN requirement at this time. For
additional information, please see the DFEC website at
https://www.dol.gov/owcp/dfec/ for further information under the
"Latest News" section.

DFEC: New Policy on Filling Non-maintenance
Medications
Beginning May 2017, in accordance with the discretion granted
to DOL and delegated to the Office of Workers' Compensation
Programs (OWCP), the Division of Federal Employees'
Compensation (DFEC) is instituting a new policy on filling nonmaintenance medications for the treatment of work-related
injury or illness. The program's policy will limit the fill of nonmaintenance medications to 30 day increments. Additionally,
refills cannot be obtained until 75% of the prescription timeline
has passed. Maintenance medications (such as those used to
treat chronic conditions like high blood pressure and asthma)
will not be subject to these limitations. In determining what
constitutes a maintenance medication, DFEC will be relying
primarily on First Data Bank classifications. Physicians seeking
to have the 30 day/75% fill requirement waived for nonmaintenance drugs should submit a written request directly to
the responsible DFEC district office because there is no method
of requesting an exception through the Web Bill Processing
Portal. Waiver of the fill requirements for non-maintenance
drugs will be authorized on an exception basis only based on
approval of the OWCP Chief Medical Officer or his/her
designee.

https://owcpmed.dol.gov/portal/main.do

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DFEC Announcement - Herbal Supplements
Beginning March, 2017, in accordance with the discretion
granted to DOL and delegated to the Office of Workers'
Compensation Programs (OWCP), the Division of Federal
Employees' Compensation (DFEC) is instituting a new policy for
authorizing herbal supplements prescribed by physicians for
treatment of work-related injuries or diseases. The Program's
policy will be to not authorize payment for herbal supplements,
unless a claimant's treating physician acquires prior
authorization by submitting rationalized medical evidence that
supports the herbal supplement's safety, effectiveness, and
necessity. To implement this policy, OWCP will rely primarily on
First DataBank (FDB) classification. Physicians wishing prior
authorization for an herbal supplement should submit a written
request directly to the responsible District Office as there is no
form or other provision for authorization to be requested through
the Web Bill Processing Portal. Herbal supplements are
authorized only on an exception basis on approval of the OWCP
Chief Medical Officer or his/her designee. For more information,
please visit the DFEC website:
https://www.dol.gov/owcp/dfec/PolicyOnHerbalSupplements.htm

DFEC Compounded Drugs Letter of Medical
Necessity Requirements
Beginning in October 2016, the Office of Workers'
Compensation Programs (OWCP) Division of Federal
Employees' Compensation (DFEC) will require all claims for
prescription medications which contain a compounded drug to
have a completed and approved Letter of Medical Necessity
(LMN) on file for prescription authorizations submitted starting in
early October. This form will be made available to registered
providers
beginning
in
October
2016
at
https://owcpmed.dol.gov/portal/main.do.
To submit the form, providers must click on the 'Provider' Link to
the right of the FECA oval located at the top left of the home
page, login with their user ID and password, and then click on
the 'LMN Documents' link located in the left menu bar. For
providers not yet registered, after clicking the 'Provider' link,
click the 'Web Registration' link located in the left menu bar to
register for web access. For providers not yet enrolled, click on
'Forms & Links' in the horizontal menu at the top of the home
page to download the Provider Enrollment form and
instructions. Authorizations for compounded drug prescriptions
will be limited to a maximum of 90 days, with initial fills and
refills to be issued in 30 day supplies.

Billing for TENS Unit Supplies
Effective September 25, 2016, TENs Unit Supplies are no
longer billable as individual services and must be billed under
HCPCS code A4595 (Electrical stimulator supplies, 2 leads, per
month). This allowance includes: electrodes (any type),
conductive paste or gel, tape or other adhesive, adhesive
remover, skin preparation materials, and batteries (9 volt or AA,
single use or rechargeable), and a battery charger (if
rechargeable batteries are used). If 2 leads are medically
necessary, a maximum of only one unit will be allowed per
month for Procedure Code A4595. If 4 leads are medically
necessary, a maximum of two units will be allowed per month.
The following HCPCs codes are no longer covered as
separately billable services; A4365, A4450, A4452, A4455
A4456, A4558, A4630, A5120, A5126, and A6250. All TENs unit
supplies must be billed using HCPCS Procedure Code A4595.

Updated DFEC Pharmacy Fee Schedule
Generic Medications: For services billed on or after July 1,
2016, the Office of Workers' Compensation Programs (OWCP)
Division of Federal Employees' Compensation (DFEC) will
calculate the maximum allowable fee for generic drugs at 60%
of the average wholesale price (AWP) plus a $4.00 dispensing
fee.
Compound Medications: For services billed on or after July 1,
2016, the Office of Workers' Compensation Programs (OWCP)
Division of Federal Employees' Compensation (DFEC) will
calculate the maximum allowable fee at:

https://owcpmed.dol.gov/portal/main.do

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• 50% of AWP of each NDC in the compounded drug, for
compounded drugs containing three or fewer
ingredients
• 30% of AWP of each NDC in the compounded drugs,
for compounded drugs containing four or more
ingredients

Compound Medication Initial Fill Duration
Effective July 1, 2016, the initial prescriptions for compound
medication should be for a period not to exceed 90 days. Initial
prescriptions for periods greater than 90-days may be subject to
further review for medical necessity.

Dental Bills Announcement
Effective October 1, 2015, OWCP will only accept paper bills
submitted on the newest version of the dental claim form (2012
American Dental Association J430D).
Any bill submitted on an older version of the dental claim form
will be returned to the provider and will not be submitted for
processing. Additionally, all claims submitted on the new form
must include the diagnosis code(s) for treatment (box 34a), a
diagnosis pointer for each line billed (box 29a), and the
appropriate diagnosis code list qualifier (box 34), regardless of
the date the service was provided.

DEEOIC Medical Reimbursement Through EFT:
Starting October 1, 2015, reimbursement for out of pocket
expenses, such as qualified medical bills and medical travel
expenses, is available for deposit directly into your checking or
savings account. Electronic Funds Transfer(EFT) is a much
faster and more secure way to receive reimbursement
compared to paper checks. We strongly encourage DEEOIC
beneficiaries to select EFT as the preferred payment method.
To obtain the DIRECT DEPOSIT SIGN UP FORM click here.

DEEOIC - The ICD-10 Transition and How it Affects
DEEOIC Claims Processing
Important information for Energy Employees Occupational
Illness Compensation Program medical providers is now
available click here.

DEEOIC - New Medical Benefits Identification Cards
Important information about the new Energy Employees
Occupational Illness Compensation Program Medical Benefits
Identification Card is now available.
Providers - click here:
Claimants - click here:

Laterality of Diagnosed Condition(s)
Effective October 1, 2015 Physicians must specify the laterality
of a claimant's condition as applicable (e.g. right or left upper
extremity, right or left kidney, right or left lung, etc initial
encounter) in their medical documents and medical bills in order
for a bill not to be denied.

Inpatient/Outpatient Billing Announcement
Effective August 31, 2015, The Office of Workers'
Compensation Programs (OWCP) will no longer accept paper
bills submitted on the UB92 Form. Bills submitted on the UB92
form will be returned to the provider with a letter of explanation
indicating: "Incorrect Form - Submit on the proper form.
Inpatient/Outpatient - Submit on UB04."

ICD-10 Announcement - Claimants
Your providers will continue to use ICD-9 codes for services
provided before October 1, 2015. ICD-10 codes are required by
your provider for services provided on or after October 1, 2015.

Dental Bills Announcement
Effective October 1, 2015, OWCP will only accept paper bills
submitted on the newest version of the dental claim form (2012
American Dental Association J430D). Any bills submitted on an

https://owcpmed.dol.gov/portal/main.do

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older version of the dental claim form will be returned to the
provider and will not be submitted for processing.

Web Announcement Provider Type 75
Effective February 01, 2015 the Office of Workers'
Compensation Programs (OWCP) Division of Federal
Employees' Compensation (DFEC) will no longer accept CPT
code 99070 when the service is billed by a licensed DME
provider. If a DME provider submits a bill for DME services
utilizing the procedure code 99070, the service will be denied.

NPI & Surgical Procedure Codes Submission
Requirement on CMS1500/OWCP1500 Form
Effective March 22, 2015, the Office of Workers' Compensation
Programs (OWCP): Division of Federal Employees'
Compensation (DFEC) and Division of Energy Employees
Occupational Illness Compensation (DEEOIC) will require the
NPI number in Block J on the CMS1500/OWCP1500 form for all
surgical procedure codes. If the NPI number is missing, the line
will be denied. If multiple providers participated in the surgery,
supporting documentation must be submitted.

Announcement for New DEEOIC Medical Provider
Updates Subscription List
Subscribe to DEEOIC Medical Provider Updates via Email (click
here)

Change to Outpatient Payment Method - (Outpatient
Prospective Payment System - OPPS)
DEEOIC:
Effective February 22nd, 2015, the Office of Workers'
Compensation Programs (OWCP), Division of Energy
Employees Occupational Illness Compensation (DEEOIC) will
implement a new reimbursement methodology which will be
based on the Medicare Outpatient Prospective Payment System
(OPPS). The new payment method will utilize Medicare’s
Ambulatory Payment Classifications (APC) as well as the
OWCP fee schedule.
The new payment method will apply to outpatient care in all
acute care hospitals including general hospitals, freestanding
rehabilitation hospitals and long-term care hospitals, with the
exception of critical access hospitals and Maryland hospitals.
When submitting the OWCP-04 form for Outpatient services,
providers will be required to enter their Medicare Number in box
51. If the Medicare number is missing or invalid, the bill will be
denied.

Toll Free Number Announcement
Effective January 2, 2015 the customer service number for
questions related to provider enrollment, FECA bill payment,
and FECA medical authorization status is changing to a new
Toll Free Number from
(850) 558-1818 to (844) 493-1966.

Re-Enrollment Announcement
The Office of Workers’ Compensation Programs (OWCP) will be
conducting a Re-Enrollment of all actively enrolled OWCP
Providers. The automated process will utilize the current
enrollment data and conduct a verification using central public
databases to include: provider demographics, NPI, taxonomy,
specialty type, licensure, EFT, and proof of Medicare
Certification where applicable.
For more information about Re-Enrollment click here

Provider Enrollment:
Please Note: We have a new Enrollment fax number for
providers who want to submit an Enrollment Application. All
completed online Enrollment Applications should faxed to: (888)
444-5335, and your application will be processed accordingly.

Change to Outpatient Payment Method - (Outpatient
Prospective Payment System - OPPS)
DFEC:

https://owcpmed.dol.gov/portal/main.do

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Effective October 1, 2014, the Office of Workers' Compensation
Programs(OWCP),
Division
of
Federal
Employees
Compensation (DFEC) will implement a new reimbursement
methodology which will be based on the Medicare Outpatient
Prospective Payment System (OPPS). The new payment
method will utilize medicare's Ambulatory Payment
Classifications (APC) as well as the OWCP fee schedule.
The new payment method will apply to outpatient care in all
acute care hosptials including general hospitals, freestanding
rehabilitation hospitals and long-term care hospitals, with the
exception of critical access hospitals and maryland hospitals.
When submitting an OWCP-04 form for outpatient services,
providers will be required to enter their medicare number in box
51. If the medicare number is missing or invalid, the bill will be
denied.
Attention DEEOIC DME Providers - The Division of Energy
Employees Occupational Illness Compensation (DEEOIC) has
released new guidelines concerning the authorization of durable
medical equipment (DME). For information about these new
guidelines, please click here.

Injection Service Limitation
The Division of Federal Employee’ Compensation Act (DFEC)
has released new guidelines implementing service limitations
for injection CPT codes 20550, 20551, 20552, 20553, and
20526, which goes into effect August 1, 2013.
• CPT codes 20550 and 20551 will reimburse 4 encounters
within a 12 month period with no additional encounters for the
claimant after that year, and for the same case number.
• CPT codes 20552 and 20553 will reimburse 10 encounters
within a 12 month period with no additional encounters for the
claimant after that year, and for the same case number.
• CPT code 20526 will reimburse 3 injections within a 12
month period.

DOL Procedure Codes RP120, RP130 and RP200 are
no Longer Available
Effective 08/01/2013, The Division of Federal Employees
Compensation Act (DFEC) will no longer utilize DOL
homegrown procedure codes RP120, RP130 AND RP200 (Pain
Management). When rendering Pain Management services,
providers are to bill and/or submit for prior authorizations using
the appropriate HCPCS/CPT codes applicable for the services.
Request for prior authorizations for pain management services
should include but not be limited to a complete and detailed
treatment plan.

Title: New! Affordable Healthcare for Non-Workers
Compensation Coverage
If you or someone you know has a medical condition not related
to a workers' compensation injury or illness and doesn't have
health insurance, or if you are a physician treating someone
without health insurance, please click here to learn about the
new Health Insurance Marketplace created under the Affordable
Care Act.

OWCP Survey
Click here for OWCP Survey

Interactive Voice Response System (FECA only)

FECA users can access the Interactive Voice Response
System (IVRS) to utilize bill status inquiry, claimant eligibility
inquiry, and medical authorization inquiry functionality 24
hours a day. To access the IVRS system, please dial (866)
335-8319 and select option '1' from the main menu.
Provider Outreach Presentation.
Provider Outreach FAQ.

https://owcpmed.dol.gov/portal/main.do

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Provider Outreach Presentation (Spanish).
FECA Claimant Outreach Presentation.
FECA Claimant Outreach FAQ.

Visit the following websites for additional information on OWCP programs:
DOL Home | OWCP Home | FECA Home | DCMWC Home | DEEOIC Home
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