{"id":14927,"date":"2024-09-15T08:30:40","date_gmt":"2024-09-15T03:30:40","guid":{"rendered":"https:\/\/www.insurance-advocate.com\/?p=14927"},"modified":"2024-10-28T18:13:28","modified_gmt":"2024-10-28T13:13:28","slug":"nyswc-introduces-case-indexing","status":"publish","type":"post","link":"https:\/\/www.insurance-advocate.com\/2024\/09\/15\/nyswc-introduces-case-indexing\/","title":{"rendered":"NYSWC Introduces Case Indexing"},"content":{"rendered":"<p class=\"p1\">To promote efficient resolution of workers\u2019 compensation claims, the New York State Workers\u2019 Compensation Board will begin indexing every complete case on Sept. 26, 2024, for cases assembled on or after this date. For information on the announcement, see\u00a0<i>Subject Number 046-1704<\/i>.<\/p>\n<p class=\"p1\">As a result, the majority of claims assembled that contain a medical report of treatment and either an\u00a0<i>Employee Claim (Form C-3)<\/i>\u00a0or\u00a0<i>First Report of Injury (FROI)<\/i>\u00a0will be indexed by the Board.\u00a0The only exceptions will be:<\/p>\n<ul>\n<li class=\"p2\">Claims already controverted (by the filing of a FROI-04 or SROI-04) at the time they became eligible for indexing.<\/li>\n<li class=\"p2\">Claims already accepted without liability (under the provisions of WCL-\u00a721-a) at the time they became eligible for indexing.<\/li>\n<li class=\"p2\">Claims without any lost time from work, that have been identified as \u201cMedical Only\u201d claims, where the Agreement to Compensate Code (ATC) has been left blank. Currently, a payer filing a FROI in a medical-only claim is required to include an ATC code of L-With Liability unless the claim is controverted. As part of this initiative, beginning Sept. 26, 2024, payers filing an initial FROI in a medical-only case will not be required to select an ATC code and may leave it blank.<\/li>\n<li class=\"p2\">Note: If a medical-only claim becomes lost time, it will be indexed. Payers must update their filings if the worker starts losing time related to the previously medical-only claim, including making a decision on accepting liability.<\/li>\n<li class=\"p1\">All other standards regarding the provision of notice and the first payment of benefits by payers remain in place.<\/li>\n<\/ul>\n<p class=\"p1\">Therefore, within 25 days of the date when the Board indexes a claim, the payer should:<\/p>\n<ul>\n<li class=\"p2\">Accept liability for the claim, or<\/li>\n<li class=\"p2\">Controvert the claim, or<\/li>\n<li class=\"p2\">Provide notice that it is initiating payment of lost wage benefits or prescribed medicine without accepting liability for the claim under the provisions of WCL \u00a721-a.<\/li>\n<\/ul>\n<p class=\"p1\">Denials of indexed claims must be filed with the Board within 25 days of the indexing date or defenses listed in Workers\u2019 Compensation Law Section 25(2)(b)) may be barred. The Board provided advance notice of this on\u00a0Dec. 15, 2023, to allow stakeholders sufficient time to facilitate compliance.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>To promote efficient resolution of workers\u2019 compensation claims, the New York State Workers\u2019 Compensation Board will begin indexing every complete case on Sept. 26, 2024, for cases assembled on or after this date. For information on the announcement, see\u00a0Subject Number 046-1704. As a result, the majority of claims assembled that contain a medical report of [&hellip;]<\/p>\n","protected":false},"author":36,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[479,491],"tags":[102],"class_list":["post-14927","post","type-post","status-publish","format-standard","hentry","category-479","category-september-2024","tag-feature","has-post-title","has-post-date","has-post-category","has-post-tag","has-post-comment","has-post-author",""],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.insurance-advocate.com\/wp-json\/wp\/v2\/posts\/14927","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.insurance-advocate.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.insurance-advocate.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.insurance-advocate.com\/wp-json\/wp\/v2\/users\/36"}],"replies":[{"embeddable":true,"href":"https:\/\/www.insurance-advocate.com\/wp-json\/wp\/v2\/comments?post=14927"}],"version-history":[{"count":1,"href":"https:\/\/www.insurance-advocate.com\/wp-json\/wp\/v2\/posts\/14927\/revisions"}],"predecessor-version":[{"id":14929,"href":"https:\/\/www.insurance-advocate.com\/wp-json\/wp\/v2\/posts\/14927\/revisions\/14929"}],"wp:attachment":[{"href":"https:\/\/www.insurance-advocate.com\/wp-json\/wp\/v2\/media?parent=14927"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.insurance-advocate.com\/wp-json\/wp\/v2\/categories?post=14927"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.insurance-advocate.com\/wp-json\/wp\/v2\/tags?post=14927"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}