Reminder – Submit Forms to Insurer’s Designated Email Address

New York State Workers' Compensation Board sent this bulletin at 09/10/2021 09:00 AM EDT

Reminder – Submit Forms to Insurer’s Designated Email Address

In response to staffing and other changes put in place due to the COVID-19 pandemic, the Workers’ Compensation Board (Board) updated some processes to ensure timely continuity of programs within the workers’ compensation system.

Please be reminded that health care providers submitting the following forms:

  • Attending Doctor's Request for Optional Prior Approval and Carrier's/Employer's Response (Form MG-1),
  • Attending Doctor’s Request for Approval of Variance and Carrier’s Response (Form MG-2), or
  • Attending Doctor’s Request for Authorization and Carrier’s Response (Form C-4 AUTH)

should submit these forms to the insurance carrier’s designated email address as posted on the Board’s website, rather than sending them by fax. Health care providers should also submit these forms to the Board via email at wcbclaimsfiling@wcb.ny.gov.

With many staff members working remotely, requests submitted via fax may not be reviewed in a timely manner.

Please email WCBMedicalDirectorsOffice@wcb.ny.gov with questions.