ClaimsFacilitationChecklistsJan07

Claims Facilitation Information & Checklists

Help Expedite Your Own Claims,

Use Self-Insured Claims Related Checklists

A number of years ago, the Washington Self-Insurers Association developed claims checklists to help facilitate and expedite the handling of your claims at the Department. Over the years, the Department helped provide helpful suggestions in the development of these checklists.

Now, they have they own!

Click on the links below that will take you to the Department's checklists you need to make certain your claims are in order BEFORE they go the Department!

AUDIT CHECKLIST

(as of 11/16/2011)

CLAIM CLOSURE CHECKLIST

(as of 11/16/2011)

PAY DURING APPEAL

(as of 11/16/2011)

PENSION CHECKLIST

(as of 11/16/2011)

RE-OPENINGS INFORMATION

(NOTE: This list is NOT a Department list, but one developed by WSIA in conjunction with the Department. The Department has not provided a new checklist on this topic.

Up to date as of March 23, 2009)

SUSPENSION OF BENEFITS

(as of 11/16/2011)

WAGE ORDER CHECKLIST

(NOTE: This list is NOT a Department list, but one developed by WSIA in conjunction with the Department. The Department has not provided a new checklist on this topic.

Up to date as of August 6, 2008)

VOCATIONAL SERVICES CHECKLIST

(as of 11/16/2011)

VOCATIONAL SERVICES - OPTION 2 CHECKLIST

(as of 11/16/2011)

WILLFUL MISREPRESENTATION

(FRAUD) CHECKLIST

(as of 11/16/2011)

RELEASE OF MEDICAL RECORDS & PATIENT PRIVACY

(as of 11/16/2011)

SIF-5 INSTRUCTIONS

(as of 11/16/2011)