Office of Workers' Compensation Programs (OWCP)
About OWCP
The Office of Workers' Compensation Programs administers four major disability
compensation programs which provide wage replacement benefits, medical
treatment, vocational rehabilitation and other benefits to certain workers or their
dependents who experience work-related injury or occupational disease.
OWCP Mission Statement
Programs
DFEC — Division of Federal Employees' Compensation
The Federal Employees' Compensation Act provides workers' compensation
coverage to three million federal and postal workers around the world for
employment-related injuries and occupational diseases. (Workers injured while
employed by private companies or by state and local government agencies should
contact their state workers' compensation board.)
DEEOIC —Division of Energy Employees Occupational Illness Compensation
The Energy Employees Occupational Illness Compensation Program Act
(EEOICPA) provides compensation and medical benefits to employees of the
Department of Energy (DOE), its predecessor agencies, and its contractors and
subcontractors, and employees of DOE designated Atomic Weapons Employers
(AWE) and Beryllium Vendors who became ill as a result of work performed in the
production and testing of nuclear weapons. Uranium miners, millers and ore
transporters (or their eligible survivors) under Section 5 of the Radiation Exposure
Compensation Act (RECA) administered by the Department of Justice may also be
eligible for benefits under the EEOICPA under both Part B and Part E.
DLHWC — Division of Longshore and Harbor Workers' Compensation
The mission of DLHWC is to minimize the impact of employment injuries and
deaths on employees and their families by ensuring that workers' compensation
benefits provided under the Longshore and Harbor Workers' Compensation Act and
it extensions (including the Defense Base Act) are paid promptly and properly, and
providing information, technical and compliance assistance, support, and informal
dispute resolution services to workers, employers, and insurers.
DCMWC — Division of Coal Mine Workers' Compensation
The Black Lung Benefits Act provides benefits to coal miners who are totally
disabled by black lung disease, and to their eligible survivors. Benefits include
monthly compensation for disabled miners and survivors of miners whose deaths
are attributable to black lung, and medical coverage for disabled miners’ lung disease.
About OWCP
The Office of Workers' Compensation Programs administers four major disability
compensation programs which provide wage replacement benefits, medical
treatment, vocational rehabilitation and other benefits to certain workers or their
dependents who experience work-related injury or occupational disease.
OWCP Mission Statement
Programs
DFEC — Division of Federal Employees' Compensation
The Federal Employees' Compensation Act provides workers' compensation
coverage to three million federal and postal workers around the world for
employment-related injuries and occupational diseases. (Workers injured while
employed by private companies or by state and local government agencies should
contact their state workers' compensation board.)
DEEOIC —Division of Energy Employees Occupational Illness Compensation
The Energy Employees Occupational Illness Compensation Program Act
(EEOICPA) provides compensation and medical benefits to employees of the
Department of Energy (DOE), its predecessor agencies, and its contractors and
subcontractors, and employees of DOE designated Atomic Weapons Employers
(AWE) and Beryllium Vendors who became ill as a result of work performed in the
production and testing of nuclear weapons. Uranium miners, millers and ore
transporters (or their eligible survivors) under Section 5 of the Radiation Exposure
Compensation Act (RECA) administered by the Department of Justice may also be
eligible for benefits under the EEOICPA under both Part B and Part E.
DLHWC — Division of Longshore and Harbor Workers' Compensation
The mission of DLHWC is to minimize the impact of employment injuries and
deaths on employees and their families by ensuring that workers' compensation
benefits provided under the Longshore and Harbor Workers' Compensation Act and
it extensions (including the Defense Base Act) are paid promptly and properly, and
providing information, technical and compliance assistance, support, and informal
dispute resolution services to workers, employers, and insurers.
DCMWC — Division of Coal Mine Workers' Compensation
The Black Lung Benefits Act provides benefits to coal miners who are totally
disabled by black lung disease, and to their eligible survivors. Benefits include
monthly compensation for disabled miners and survivors of miners whose deaths
are attributable to black lung, and medical coverage for disabled miners’ lung disease.
January 18, 2012: Department of Labor News: US Labor Department settles charges of racial
discrimination with Houston-based defense contractor JacintoPort
January 18, 2012: Department Of Labor News: US Department of Labor’s OSHA orders
AirTran Airways to reinstate pilot, pay more than $1 million in back wages and damages
January 18, 2012: Department of Labor: News: US Labor Department files complaint to
require DeMoulas Super Markets to address hazards at Market Basket stores in
Massachusetts and New Hampshire
January 06, 2012: Department of Labor: News: US Labor Department announces final rule
defining recreational vessels under Longshore and Harbor Workers’ Compensation Act
December 29, 2011: Department of Labor News: US Department of Labor’s OSHA
proposes more than $1 million in fines to Houston, Texas, employer for willful and serious
violations
December 22, 2011: Department of Labor News: DOL announces approximately $98.5
million in grants through Workforce Innovation Fund
December 20, 2011: Department of Labor News: US Labor Department’s OSHA orders Neb.
-based Union Pacific Railroad Co. to reinstate, pay more than $300,000 to terminated
whistleblower employee in Idaho
December 20, 2011: Department Of Labor News: US Department of Labor announces $13
million grant to combat exploitative child labor in Peru
November 03, 2011: Department Of Labor: News:
Federal appeals court upholds survivors' right to automatic benefits under Black Lung
Benefits Act [11/03/2011]
October 21, 2011: Department of Labor News
Federal contractor Caviness Beef Packers agrees to pay $600,000 to applicants to resolve
allegations of hiring discrimination 746 applicants in Amarillo and Hereford, Texas, affected
October 17, 2011: News
MSHA audits uncover injury, illness underreporting at Kentucky mine [10/13/2011]
DOL announces $1.5 million in continued funding for program to improve labor relations in
Vietnam [10/13/2011]
DOL announces $13 million grant competition to combat exploitative child labor in Peru
[10/13/2011]
Statement by Secretary of Labor Hilda L. Solis on congressional passage of Trade
Adjustment Assistance for Workers [10/12/2011]
Division of Federal Employees' Compensation (DFEC)
Information for Medical Providers
To be paid for treating federal employees covered by the FECA, you must enroll. As of
March 31, 2004, all bills submitted by unenrolled Providers will be returned along with
instructions on how to enroll. Enrollment is free and is simply a registration process to
ensure proper payments. It is not a PPO enrollment.
You can enroll online at https://owcp.dol.acs-inc.com. Click on "Provider" in the FECA
section in the shaded section on the top left side of the screen. Then click on "Provider
Enrollment" and follow the instructions.
Do you have instructions on how to enroll on-line as a Provider?
Yes. Our "Tools and Tips for Providers" page at http://www.dol.
gov/owcp/dfec/regs/compliance/CBPtools.htm contains a link to these instructions. On this
page we also have medical authorization and billing tips as well as instructions for using the
ACS web portal to request medical authorization.
I have enrolled as a Provider. How do I get register to use the web portal?
Go to the portal at http://owcp.dol.acs-inc.com. Click on "Provider" in the FECA section.
Then click on "Web Registration" and follow the instructions. If you try this and have
questions or need additional help, call the Health Care Solutions Operations Center at 1-800-
461-7485 or 1-850-558-1775
Do I have to enroll as a provider to use the web portal?
A provider may use the eligibility inquiry function without enrolling as a provider and
registering to use the web portal. To use the on-line authorization, bill status, and payment
status functions, a provider must enroll and must register to use the web portal. Both
enrollment and web registration can be accomplished online at http://owcp.dol.acs-inc.com.
How do I find out if a prior authorization is required?
Whenever you treat an Injured Worker, check the ACS web portal (http://owcp.dol.acs-inc.
com) or call the IVR at 866-335-8319 to see if the procedure requires authorization.
Level 1 procedures (for example, office visits, MRIs without contrast, and some other
routine diagnostic tests) do not require authorization. If you need a hard copy confirmation
of this, complete an online authorization request at http://owcp.dol.acs-inc.com and print the
message displayed after the request is submitted.
Level 2, 3 and 4 procedures require authorization. These authorization requests can be made
online at http://owcp.dol.acs-inc.com or via by faxing a completed authorization request and
supporting documentation to 800-215-4901. The Medical Authorization forms are available
online at http://owcp.dol.acs-inc.com. Click on "Forms and Links" and then choose FECA
from the Program Specific Forms and Links box. Forms are available for Durable Medical
Equipment, General Medical/Surgery, and Physical Therapy authorizations. These forms
request the specific information needed to process each type of authorization request.
How do I make medical authorization requests?
You may request authorization online at http://owcp.dol.acs-inc.com. Or, you may fax the
appropriate Medical Authorization form and supporting documentation to 800-215-4901.
The Medical Authorization forms are available online at http://owcp.dol.acs-inc.com. Click
on "Forms and Links" and then choose FECA from the Program Specific Forms and Links
box. Forms are available for Durable Medical Equipment, General Medical/Surgery, and
Physical Therapy authorizations.
Do you have any tips to help me with the authorization process?
Yes. Our "Tools and Tips for Providers" page at http://www.dol.
gov/owcp/dfec/regs/compliance/CBPtools.htm has links to authorization and billing tips On
this page we also have instructions for enrolling on-line and for using the ACS web portal to
request medical authorization.
I have an Injured Worker who has a CA-16 but no claim number. How do I request an
authorization?
CA-16s are issued by Employing Agencies to Injured Workers so they can seek immediate
medical care. When there is a CA-16, NO authorization is needed for office visits and
consultations, labs, hospital services (including inpatient), X-rays (including MRI and CT
scan), physical therapy, and Emergency services (including surgery) related to the work
injury. You must enroll as a Provider to be paid for services provided under a CA-16. The
CA-16 DOES NOT cover non-emergency surgery, home exercise equipment, whirlpools,
mattresses, spa/gym memberships, and work hardening programs. Authorization for these
services can not be requested until a claim number has been established.
I'm a specialist to whom an Injured Worker has been referred for a consultation. Do I need an
authorization?
An authorization is not required when an Injured Worker is referred by her/his treating
physician to a specialist for a consultation. However, you must be enrolled as a Provider to
be paid for the consultation visit.
I've tried to use the eligibility inquiry, but I get a message that the service requested isn't
covered for the accepted conditions. What do I do?
Request authorization online at http://owcp.dol.acs-inc.com or fax the appropriate Medical
Authorization form and supporting documentation to 800-215-4901. The Claims Examiner
will determine if the claim can be expanded for a new condition based on information in file
and information submitted with the request or if additional development is needed.
I want to prescribe a particular medication for a patient. It's not covered for the conditions
accepted on the claim. What do I do?
If you believe a medication is necessary for the treatment of the injured worker's accepted
conditions please submit medical documentation for review by the claims examiner. As is the
case with anything sent to OWCP, please be sure to include the injured worker's claim/case
number on every page. Please mail all documentation to U.S. Department of Labor, DFEC
Central Mailroom, P.O. Box 8300, London, KY 40742-8300.
How do I know what the accepted conditions are for a claim?
This information is now available online at http://owcp.dol.acs-inc.com click on the
"Eligibility and Accepted Conditions" link. For instructions on how to use this functionality,
click here.
My patient thinks that other diagnoses need to be added as accepted conditions on a claim.
What should I do?
If an injured worker believes that additional or different conditions warrant acceptance on
her/his claim, s/he needs to submit to OWCP medical documentation supporting expansion of
the claim for review by the claims examiner. As is the case with anything sent to OWCP, this
medical documentation should include the injured worker's claim/case number on every page
and should be mail to U.S. Department of Labor, DFEC Central Mailroom, P.O. Box 8300,
London, KY 40742-8300.
How do I learn the status of a medical authorization request?
Injured Workers, Providers, and Employing Agencies can check on the status of medical
authorizations at http://owcp.dol.acs-inc.com. Having this information on the web is
beneficial since authorization information is available 24 hours/day, 7 days/week without
calling for an authorization number or waiting for the receipt of an authorization letter in the
mail. Claimant eligibility, bill status, and medical authorization inquiry functionality is also
available 24 hours a day via our Interactive Voice Response (IVR) system. To access the
IVR, call 866-335-8319. To speak with a Customer Service Representative regarding an
authorization, you may call 850-558-1818 which will be a toll call. This number is available
Monday to Friday, 8am to 8pm, EST.
How do I learn the status of a bill or claim for reimbursement?
Injured Workers, Providers, and Employing Agencies can check on the status of bills and
reimbursements at http://owcp.dol.acs-inc.com. Claimant eligibility, bill status, and medical
authorization inquiry functionality is also available 24 hours a day via our Interactive Voice
Response (IVR) system. To access the IVR, please dial 866-335-8319. To speak with a
Customer Service Representative regarding a bill or reimbursement, you may call 850-558-
1818 which will be a toll call. This number is available Monday tp Friday, 8am to 8pm, EST.
Can I bill electronically?
Yes! Using Electronic Data Interchange (EDI) has many benefits including
• Faster payment of claims -clean bills are processed in an average
• of 14 days or less
• Increased efficiency - greatly reduces keying errors or data omissions
• Transmission of bills 24 hours/day, 7 days/week
• Reduced cost and time of preparing and mailing paper claims
• No lost bills
• Ability to send claims in the X12N HIPAA standard
Information about this option is available at http://www.acs-gcro.com/ or by calling the EDI
Technical Support line at 800-987-6717.
I think I might need some help in using the web portal. Do you have some instructions or a
user manual?
Yes. Go to http://owcp.dol.acs-inc.com and click on the Help link (it's on the right side,
above the yellow box). This will open a User Guide.
If OWCP authorizes a medical service as related to the FECA claim but does not pay my
submitted bill in full, can I seek additional payment from the injured worker for the difference
between what was billed and what OWCP paid?
No, you may not seek additional payment. If an authorized service has been rendered for the
injured worker's accepted work-related condition, he or she is not responsible for charges
over the maximum allowed in the OWCP fee schedule or other tests for reasonableness. 20 C.
F.R. §10.801 (d) provides that by submitting a bill and/or accepting payment, the provider
signifies that the service for which reimbursement is sought was performed as described and
was necessary. In addition, the provider thereby agrees to comply with all regulations
concerning the rendering of treatment and/or the process for seeking reimbursement for
medical services, including the limitation imposed on the amount to be paid for such services.
Therefore, if your bill is reduced by OWCP in accordance with its fee schedule, you may not
charge the injured worker for the remainder of the bill. See also 20 CFR §10.813 and §10.815
(h).
What is the Fee Schedule and how do I get a copy?
The Federal Fee Schedule is applied to medical bills and to some durable medical equipment
bills. Access the Federal Fee Schedule free of charge at http://www.dol.
gov/owcp/dfec/regs/compliance/fee.htm.
Where do I send mail?
Send all mail and bills for Federal workers' compensation cases to:
U.S. Department of Labor
DFEC Central Mailroom
PO Box 8300
London, KY 40742-8300
Please be sure to include the claim number on every page you send.
What are the benefits of centralizing medical authorizations and billing?
The new system is designed to allow our contractor, ACS, to approve services and payments
based on established treatment guidelines and OWCP staff decisions regarding covered
conditions. In turn, this allows OWCP staff to dedicate more time to entitlement issues and
return to work efforts. We have made eligibility, medical authorization, and billing
information accessible 24 hours a day/7 days a week to Injured Workers, Employing
Agencies, and Providers via the Interactive Voice Response (IVR) system and the web.
Providers can now request, and for routine services receive, authorization on-line which is
easier for providers and speeds up the authorization process.
Why did you change to a toll number to talk with a Customer Service Representative?
We offer an automated toll-free Interactive Voice Response (IVR) system at 866-335-8319
which provides access to information regarding eligibility, authorization, and bill payment
status. This information is also available online at http://owcp.dol.acs-inc.com. A great deal
of information is available through the automated toll-free IVR and web based processes
which are available 24/7. All of these allow for a greater savings to DFEC so that future
enhancements can be implemented.
discrimination with Houston-based defense contractor JacintoPort
January 18, 2012: Department Of Labor News: US Department of Labor’s OSHA orders
AirTran Airways to reinstate pilot, pay more than $1 million in back wages and damages
January 18, 2012: Department of Labor: News: US Labor Department files complaint to
require DeMoulas Super Markets to address hazards at Market Basket stores in
Massachusetts and New Hampshire
January 06, 2012: Department of Labor: News: US Labor Department announces final rule
defining recreational vessels under Longshore and Harbor Workers’ Compensation Act
December 29, 2011: Department of Labor News: US Department of Labor’s OSHA
proposes more than $1 million in fines to Houston, Texas, employer for willful and serious
violations
December 22, 2011: Department of Labor News: DOL announces approximately $98.5
million in grants through Workforce Innovation Fund
December 20, 2011: Department of Labor News: US Labor Department’s OSHA orders Neb.
-based Union Pacific Railroad Co. to reinstate, pay more than $300,000 to terminated
whistleblower employee in Idaho
December 20, 2011: Department Of Labor News: US Department of Labor announces $13
million grant to combat exploitative child labor in Peru
November 03, 2011: Department Of Labor: News:
Federal appeals court upholds survivors' right to automatic benefits under Black Lung
Benefits Act [11/03/2011]
October 21, 2011: Department of Labor News
Federal contractor Caviness Beef Packers agrees to pay $600,000 to applicants to resolve
allegations of hiring discrimination 746 applicants in Amarillo and Hereford, Texas, affected
October 17, 2011: News
MSHA audits uncover injury, illness underreporting at Kentucky mine [10/13/2011]
DOL announces $1.5 million in continued funding for program to improve labor relations in
Vietnam [10/13/2011]
DOL announces $13 million grant competition to combat exploitative child labor in Peru
[10/13/2011]
Statement by Secretary of Labor Hilda L. Solis on congressional passage of Trade
Adjustment Assistance for Workers [10/12/2011]
Division of Federal Employees' Compensation (DFEC)
Information for Medical Providers
To be paid for treating federal employees covered by the FECA, you must enroll. As of
March 31, 2004, all bills submitted by unenrolled Providers will be returned along with
instructions on how to enroll. Enrollment is free and is simply a registration process to
ensure proper payments. It is not a PPO enrollment.
You can enroll online at https://owcp.dol.acs-inc.com. Click on "Provider" in the FECA
section in the shaded section on the top left side of the screen. Then click on "Provider
Enrollment" and follow the instructions.
Do you have instructions on how to enroll on-line as a Provider?
Yes. Our "Tools and Tips for Providers" page at http://www.dol.
gov/owcp/dfec/regs/compliance/CBPtools.htm contains a link to these instructions. On this
page we also have medical authorization and billing tips as well as instructions for using the
ACS web portal to request medical authorization.
I have enrolled as a Provider. How do I get register to use the web portal?
Go to the portal at http://owcp.dol.acs-inc.com. Click on "Provider" in the FECA section.
Then click on "Web Registration" and follow the instructions. If you try this and have
questions or need additional help, call the Health Care Solutions Operations Center at 1-800-
461-7485 or 1-850-558-1775
Do I have to enroll as a provider to use the web portal?
A provider may use the eligibility inquiry function without enrolling as a provider and
registering to use the web portal. To use the on-line authorization, bill status, and payment
status functions, a provider must enroll and must register to use the web portal. Both
enrollment and web registration can be accomplished online at http://owcp.dol.acs-inc.com.
How do I find out if a prior authorization is required?
Whenever you treat an Injured Worker, check the ACS web portal (http://owcp.dol.acs-inc.
com) or call the IVR at 866-335-8319 to see if the procedure requires authorization.
Level 1 procedures (for example, office visits, MRIs without contrast, and some other
routine diagnostic tests) do not require authorization. If you need a hard copy confirmation
of this, complete an online authorization request at http://owcp.dol.acs-inc.com and print the
message displayed after the request is submitted.
Level 2, 3 and 4 procedures require authorization. These authorization requests can be made
online at http://owcp.dol.acs-inc.com or via by faxing a completed authorization request and
supporting documentation to 800-215-4901. The Medical Authorization forms are available
online at http://owcp.dol.acs-inc.com. Click on "Forms and Links" and then choose FECA
from the Program Specific Forms and Links box. Forms are available for Durable Medical
Equipment, General Medical/Surgery, and Physical Therapy authorizations. These forms
request the specific information needed to process each type of authorization request.
How do I make medical authorization requests?
You may request authorization online at http://owcp.dol.acs-inc.com. Or, you may fax the
appropriate Medical Authorization form and supporting documentation to 800-215-4901.
The Medical Authorization forms are available online at http://owcp.dol.acs-inc.com. Click
on "Forms and Links" and then choose FECA from the Program Specific Forms and Links
box. Forms are available for Durable Medical Equipment, General Medical/Surgery, and
Physical Therapy authorizations.
Do you have any tips to help me with the authorization process?
Yes. Our "Tools and Tips for Providers" page at http://www.dol.
gov/owcp/dfec/regs/compliance/CBPtools.htm has links to authorization and billing tips On
this page we also have instructions for enrolling on-line and for using the ACS web portal to
request medical authorization.
I have an Injured Worker who has a CA-16 but no claim number. How do I request an
authorization?
CA-16s are issued by Employing Agencies to Injured Workers so they can seek immediate
medical care. When there is a CA-16, NO authorization is needed for office visits and
consultations, labs, hospital services (including inpatient), X-rays (including MRI and CT
scan), physical therapy, and Emergency services (including surgery) related to the work
injury. You must enroll as a Provider to be paid for services provided under a CA-16. The
CA-16 DOES NOT cover non-emergency surgery, home exercise equipment, whirlpools,
mattresses, spa/gym memberships, and work hardening programs. Authorization for these
services can not be requested until a claim number has been established.
I'm a specialist to whom an Injured Worker has been referred for a consultation. Do I need an
authorization?
An authorization is not required when an Injured Worker is referred by her/his treating
physician to a specialist for a consultation. However, you must be enrolled as a Provider to
be paid for the consultation visit.
I've tried to use the eligibility inquiry, but I get a message that the service requested isn't
covered for the accepted conditions. What do I do?
Request authorization online at http://owcp.dol.acs-inc.com or fax the appropriate Medical
Authorization form and supporting documentation to 800-215-4901. The Claims Examiner
will determine if the claim can be expanded for a new condition based on information in file
and information submitted with the request or if additional development is needed.
I want to prescribe a particular medication for a patient. It's not covered for the conditions
accepted on the claim. What do I do?
If you believe a medication is necessary for the treatment of the injured worker's accepted
conditions please submit medical documentation for review by the claims examiner. As is the
case with anything sent to OWCP, please be sure to include the injured worker's claim/case
number on every page. Please mail all documentation to U.S. Department of Labor, DFEC
Central Mailroom, P.O. Box 8300, London, KY 40742-8300.
How do I know what the accepted conditions are for a claim?
This information is now available online at http://owcp.dol.acs-inc.com click on the
"Eligibility and Accepted Conditions" link. For instructions on how to use this functionality,
click here.
My patient thinks that other diagnoses need to be added as accepted conditions on a claim.
What should I do?
If an injured worker believes that additional or different conditions warrant acceptance on
her/his claim, s/he needs to submit to OWCP medical documentation supporting expansion of
the claim for review by the claims examiner. As is the case with anything sent to OWCP, this
medical documentation should include the injured worker's claim/case number on every page
and should be mail to U.S. Department of Labor, DFEC Central Mailroom, P.O. Box 8300,
London, KY 40742-8300.
How do I learn the status of a medical authorization request?
Injured Workers, Providers, and Employing Agencies can check on the status of medical
authorizations at http://owcp.dol.acs-inc.com. Having this information on the web is
beneficial since authorization information is available 24 hours/day, 7 days/week without
calling for an authorization number or waiting for the receipt of an authorization letter in the
mail. Claimant eligibility, bill status, and medical authorization inquiry functionality is also
available 24 hours a day via our Interactive Voice Response (IVR) system. To access the
IVR, call 866-335-8319. To speak with a Customer Service Representative regarding an
authorization, you may call 850-558-1818 which will be a toll call. This number is available
Monday to Friday, 8am to 8pm, EST.
How do I learn the status of a bill or claim for reimbursement?
Injured Workers, Providers, and Employing Agencies can check on the status of bills and
reimbursements at http://owcp.dol.acs-inc.com. Claimant eligibility, bill status, and medical
authorization inquiry functionality is also available 24 hours a day via our Interactive Voice
Response (IVR) system. To access the IVR, please dial 866-335-8319. To speak with a
Customer Service Representative regarding a bill or reimbursement, you may call 850-558-
1818 which will be a toll call. This number is available Monday tp Friday, 8am to 8pm, EST.
Can I bill electronically?
Yes! Using Electronic Data Interchange (EDI) has many benefits including
• Faster payment of claims -clean bills are processed in an average
• of 14 days or less
• Increased efficiency - greatly reduces keying errors or data omissions
• Transmission of bills 24 hours/day, 7 days/week
• Reduced cost and time of preparing and mailing paper claims
• No lost bills
• Ability to send claims in the X12N HIPAA standard
Information about this option is available at http://www.acs-gcro.com/ or by calling the EDI
Technical Support line at 800-987-6717.
I think I might need some help in using the web portal. Do you have some instructions or a
user manual?
Yes. Go to http://owcp.dol.acs-inc.com and click on the Help link (it's on the right side,
above the yellow box). This will open a User Guide.
If OWCP authorizes a medical service as related to the FECA claim but does not pay my
submitted bill in full, can I seek additional payment from the injured worker for the difference
between what was billed and what OWCP paid?
No, you may not seek additional payment. If an authorized service has been rendered for the
injured worker's accepted work-related condition, he or she is not responsible for charges
over the maximum allowed in the OWCP fee schedule or other tests for reasonableness. 20 C.
F.R. §10.801 (d) provides that by submitting a bill and/or accepting payment, the provider
signifies that the service for which reimbursement is sought was performed as described and
was necessary. In addition, the provider thereby agrees to comply with all regulations
concerning the rendering of treatment and/or the process for seeking reimbursement for
medical services, including the limitation imposed on the amount to be paid for such services.
Therefore, if your bill is reduced by OWCP in accordance with its fee schedule, you may not
charge the injured worker for the remainder of the bill. See also 20 CFR §10.813 and §10.815
(h).
What is the Fee Schedule and how do I get a copy?
The Federal Fee Schedule is applied to medical bills and to some durable medical equipment
bills. Access the Federal Fee Schedule free of charge at http://www.dol.
gov/owcp/dfec/regs/compliance/fee.htm.
Where do I send mail?
Send all mail and bills for Federal workers' compensation cases to:
U.S. Department of Labor
DFEC Central Mailroom
PO Box 8300
London, KY 40742-8300
Please be sure to include the claim number on every page you send.
What are the benefits of centralizing medical authorizations and billing?
The new system is designed to allow our contractor, ACS, to approve services and payments
based on established treatment guidelines and OWCP staff decisions regarding covered
conditions. In turn, this allows OWCP staff to dedicate more time to entitlement issues and
return to work efforts. We have made eligibility, medical authorization, and billing
information accessible 24 hours a day/7 days a week to Injured Workers, Employing
Agencies, and Providers via the Interactive Voice Response (IVR) system and the web.
Providers can now request, and for routine services receive, authorization on-line which is
easier for providers and speeds up the authorization process.
Why did you change to a toll number to talk with a Customer Service Representative?
We offer an automated toll-free Interactive Voice Response (IVR) system at 866-335-8319
which provides access to information regarding eligibility, authorization, and bill payment
status. This information is also available online at http://owcp.dol.acs-inc.com. A great deal
of information is available through the automated toll-free IVR and web based processes
which are available 24/7. All of these allow for a greater savings to DFEC so that future
enhancements can be implemented.
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