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Claim for Medical Reimbursement …

    https://www.dol.gov/sites/dolgov/files/owcp/dfec/regs/compliance/owcp-915.pdf

    Online Forms | U.S. Department of Labor - DOL

      https://www.dol.gov/agencies/owcp/energy/regs/compliance/claim_forms
      Reimbursement for out-of-pocket medical expenses: OWCP-915; Uniform Billing Form for Medical Services: OWCP-04; Medical Travel Refund Request: OWCP-957 ; Direct …

    Claimant Reimbursement Forms - DOL

      https://owcpmed.dol.gov/portal/tutorials/Claimant_Reimbursement_Forms.pdf
      The OWCP-915 is used to seek reimbursement for out-of-pocket medical expenses pertaining to the treatment of an accepted condition including (but not limited to) medical …

    Forms | U.S. Department of Labor - DOL

      https://www.dol.gov/agencies/owcp/FECA/regs/compliance/forms
      This form is only available to registered medical providers by logging into the OWCP Web Bill Portal. To submit the form, providers must click on the 'Provider' Link to the right …

    Claim for Medical Reimbursement U.S. Department of Labor …

      http://www.branch38nalc.com/sitebuildercontent/sitebuilderfiles/OWCP_915.pdf
      condition. Form OWCP-915 can be used to seek reimbursement for expenses in regard to medical treatment, prescription medication and medical supplies. • Please submit a …

    OWCP-915 Claim for Medical Reimbursement

      https://2009-2017.state.gov/documents/organization/108802.pdf
      OWCP-915 Claim for Medical Reimbursement Author: U.S. Department of State Subject: OWCP-915 Claim for Medical Reimbursement Created Date: 8/19/2008 5:01:41 PM

    Information for Injured Workers and their Representatives

      https://www.dol.gov/agencies/owcp/FECA/regs/compliance/infoinjuredwrkers
      A reimbursement claim for medical services, surgical services, medical appliances, or medical supplies must be accompanied by a copy of the OWCP-1500/HCFA-1500 …

    Claimant - Bills Mailing Address | Office of Workers

      http://owcpmed.dol.gov/portal/node/219
      Bill processing for OWCP transitioned to CNSI on 4/27/2020. With this transition, please submit your claims for reimbursement to the applicable address below: Division of …

    Medical Travel Refund Request U.S. Department of …

      https://www.dol.gov/sites/dolgov/files/owcp/dfec/regs/compliance/owcp-957.pdf
      b. The reason you are requesting reimbursement. 4. Enter the address of the person to be reimbursed. The address is to include: Street/RFD, City, State, Zip Code Note: If your …

    Doc Explains Fed Work Comp (OWCP-915) - Ellis Clinic

      https://ellisclinic.com/DocEllisExplains/doc-explains-fed-work-comp-(owcp-915).html
      FORM OWCP-915: CLAIM FOR MEDICAL REIMBURSEMENT. This form is used to claim reimbursement for out-of-pocket medical expenses pertaining to the treatment of …



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