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WORKERS COMPENSATION MEDICAL TRANSPORTATION REIMBURSEMENT FORM The Kansas Workers Compensation Regulation 51911 states when an injured employee has to make a round trip visit (that exceeds five (5) miles)
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How to fill out workers compensation medical transportation

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How to fill out workers compensation medical transportation

01
Gather necessary information such as the injured worker's name, contact details, and date of injury.
02
Contact the workers compensation insurance provider to inform them about the need for medical transportation.
03
Request a referral from the treating physician for medical transportation services.
04
Provide the necessary information and referral to a licensed medical transportation provider.
05
Ensure that all required documentation, such as medical reports and treatment plans, are included with the transportation request.
06
Confirm the transportation arrangements with the injured worker and the medical transportation provider.
07
Ensure that the necessary insurance authorizations and approvals are obtained before the transportation takes place.
08
Keep records of all communication, documentation, and transportation details for future reference and billing purposes.

Who needs workers compensation medical transportation?

01
Injured workers who require specialized medical care or treatment.
02
Workers who are unable to transport themselves to medical appointments due to their injury or condition.
03
Individuals with work-related injuries or illnesses covered by workers compensation insurance.
04
Employees who need to attend medical evaluations, therapy sessions, or follow-up appointments related to their workers compensation claim.
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Workers compensation medical transportation is a service provided to injured workers to transport them to medical appointments related to their work-related injury or illness.
Employers are typically responsible for arranging and filing workers compensation medical transportation for their injured employees.
To fill out workers compensation medical transportation, you will need to provide details such as the injured worker's name, date of injury, appointment details, and any specific transportation needs.
The purpose of workers compensation medical transportation is to ensure that injured workers can access necessary medical treatment in a timely manner.
Information such as the injured worker's name, date of injury, medical provider information, appointment date and time, and any special transportation requirements must be reported on workers compensation medical transportation.
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