We know firsthand that it can be challenging to navigate the world of medical billing and the Division of Federal Employees’ Compensation (DFEC). As revenue cycle management experts, we get a lot of questions on the subject. In this post, we will share the questions we get the most as well as their answers in case you are looking for this same information.
FAQ About the Division of Federal Employees’ Compensation (DFEC)
Let’s begin with common questions about enrollment.
Do I need to enroll as a Provider?
Yes, if you want to be paid for treating federal employees covered by the FECA, enrollment is necessary. The good news is, provider credentialing requires a simple registration process to start ensuring proper payments.
How do I enroll as a Provider?
You will use this form to enroll as a provider: Provider Enrollment Form (OWCP-1168). If you are looking for more information about provider enrollment, you can find it on the OWCP Web Bill Processing Portal.
Once I have enrolled as a Provider, how do I register to use the web portal?
As for that web portal, we also get a lot of questions about how to register to use it. First, you visit this link to navigate to the portal. Next, you select “Provider” in the FECA selection, then select “Web Registration.” From there, you will follow the instructions on the screen.
If you run into any difficulty or you need technical support or assistance, call the Health Care Solutions Operations Center Helpdesk at 1-800-461-7485 or 1-850-558-1775.
Do I need to enroll as a Provider to use the web portal?
Yes, if you plan to use the authorization, bill status, and payment status functions, providers need to enroll and register to use the web portal. Conveniently, both of these can be done on the Portal.
How do I know if a prior authorization is required?
If you have treated an Injured Worker, then you will first check the OWCP Web Bill Processing Portal.
Whether or not prior authorization is necessary depends on the procedure level.
- Level 1 Procedures: These do not require authorization.
- Level 2, 3, 4 Procedures: These procedures do require authorization.
How can I make medical authorization requests?
If you do require medical authorization, here is how you can request it.
On the OWCP Web Bill Processing Portal: Providers can request medical authorization directly through the web portal.
By fax: Providers can also fax the appropriate Medical Authorization form and supporting documentation to 800-215-4901. Click on the Resources tab, and then “Forms and References.” Next, choose DFEC. There you will see forms are available for Durable Medical Equipment, General Medical/Surgery, and Physical Therapy authorizations.
How do I know what the accepted conditions are for a claim?
You will find information about the accepted conditions for a claim on the OWCP Web Bill Processing Portal.
How do I send mail to DFEC?
Bills for Federal workers’ compensation cases can be sent to:
U.S. Department of Labor
OWCP/DFEC
PO Box 8300
London, KY 40742-8300
Providers must include the claim number on every page they send. Additionally, it’s important to note that DFEC reports that due to current conditions of the pandemic it may cause delays in processing. Electronic filing is requested whenever possible.
Do you have more questions about DFEC?
We have covered eight of your top questions about the Division of Federal Employees’ Compensation (DFEC) in this post. If you have more questions or would like to learn more about our revenue cycle management services, call us today.