OWCP Fed Comp Claimant Reimbursement 915, 957a & 957b Forms tutorial (part 2 of 2)

Federal Workers Compensation Coffee Break

Podcast -Overview --- Obtaining and Successfully Submitting a Claimant Reimbursement Form for :

• Completing OWCP 915 for Medical Reimbursements
• Completing OWCP 915 for Pharmacy Reimbursements
• Completing OWCP 957A and 975B for Travel Reimbursements

This is an OWCP - DOL Medical, Pharmacy & Travel Reimbursement Form Submission tutorial. This is part two of a two part series on how to successfully obtain reimbursements of medical services, expenses, and travel.
Form OWCP-915 (click on link for form)

This form is used to claim reimbursement for out-of-pocket medical expenses pertaining to the treatment of an accepted condition covered by the Federal Employees' Compensation Act. Use this form to request reimbursement for medical expenses, transportation costs, loss of wages, and incidental expenses. Originally Form OWCP-915 cannot be submitted electronically; it was required be mailed to OWCP or handed over to your supervisor so it can be submitted to the district office.

In addition, you are required to submit separate OWCP-915 forms if you received medical services from different physicians and/or medical centers. In submitting the form, make sure to send over ORIGINAL bills in order to be reimbursed as copies are not accepted with the exception of said copies having the provider’s signature, showing clearly that you paid for the service.
OWCP 957A Travel Reimbursement-Mileage (click on link for form)
This form should be used for medically related travel covered by the Federal Employees' Compensation Act and the Energy Employees Occupational Illness Compensation Program Act.
OWCP 957B Medical Travel Refund Request (click on link for form)
This form should be used for medically related travel refunds covered by the Federal Employees' Compensation Act and the Energy Employees Occupational Illness Compensation Program Act.
Under 50 Miles round trip:

• File After Your Office Visit
• File Form OWCP-957: Medical Travel Refund Request.
• Attach your physician’s ACS Web Bill Processing Portal approval

Over 50 Miles round trip: File Before Your Office Visit (OK to try after your visit)

• Fax Transportation and Travel Authorization Request.
• Attach your physician’s ACS Web Bill Processing Portal approval.
• To get the form Google Authorization - Travel and Transportation 04-23-10"
• Or go to file:https://owcpmed.dol.gov/portal/Provider/Authorizations (click on link above for form)

The podcast Dr. Taylor’s contact information is: https://[email protected] If you need a medical provider

For responses email Dr. Taylor at [email protected]

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