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Claims Information

Continued Enhancements to Records Requests

The bureau is excited to announce another enhancement to the Records Request process. Our existing online process is being updated to make it a one-stop shop for Record Requests. These changes will begin immediately following the WCAIS system maintenance on Friday, April 3, 2020.

Currently, requests are made using the Records Request Online link on your dashboard. This link will be renamed to the Records Request Dashboard and by clicking the new link, users will be able to do more than just request records. From this link, users will be able to enter new requests for records, see pending requests (submitted after the system maintenance) and receive responses to their requests in WCAIS. When a records request response is completed and available, the requester will receive an email notification. Users can access their dashboard at any time to view pending or available requests and enter new ones.

Please note that all responses for Records Requests submitted online will be delivered via WCAIS in the Records Request Dashboard. And as always, all requests are confidential so they will only display in WCAIS to the party which submitted them. More details about the new Records Request Dashboard is available here.

If you need further help, the WCAIS Customer Service Center will have updated instructions on how to perform a Records Request or you may contact the Bureau’s Helpline.

INSURANCE CARRIERS AND THIRD-PARTY ADMINISTRATORS

The PA BWC claim number is the number the bureau assigns to a case and is not your claim number. Only indicate your claim number on forms where we request the "carrier's claim number." Please take care to complete all forms within the space provided. Information improperly placed within a field will scan claims information incorrectly and delay processing.

BWC CLAIMS MANAGEMENT DIVISION

As the workers' compensation claim form repository for the state, this division serves many functions:

Record Requests

The bureau policy for requesting records, including decisions, can be found here.

Claim Reporting

The bureau went live with EDI Release 3 for claims in September 2013, transitioning from paper submission of compensable and subsequent forms to the electronic filing of data. More information on Release 3 and its integration with WCAIS is available here.

Data Quality

The data quality section is responsible for cleansing and proactively managing the data within the WC Automation and Integration System, or WCAIS. Prior to WCAIS implementation, the bureau, the WC Office of Adjudication and the WC Appeal Board worked with separate various computer systems. Implementation of WCAIS integrated the three program areas into one streamlined system. Read here for more information on WCAIS.

Flow of a WC Claim

Claimant & Employer Helpline

Helpline staff answer questions from members of the workers' compensation community with regard to rights and duties under the PA Workers' Compensation Act. The section is also responsible for working with users who experience difficulty registering to use WCAIS.

Helpline hours are 7:30 a.m. to 4:30 p.m., Monday through Friday.

Helpline voice telephone numbers:
toll free in Pennsylvania: 800-482-2383
local and outside Pennsylvania: 717-772-4447

Hearing impaired individuals, or those who have difficulty speaking, may contact the PA Department of Labor & Industry’s Bureau of Workers’ Compensation by dialing 7-1-1 and providing the relay service with the bureau’s phone number (717-772-4447).

PA Workers' Compensation Act

The WC Act is available online, and copies can be purchased from the PA Bookstore.