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We are currently experiencing technical issues affecting some users' ability to access Board applications like eCase. In addition, users may also receive error messages within eCase. If you need assistance, or to report an issue, please email WCBCustomerSupport@wcb.ny.gov.


ECASE WILL BE UNAVAILABLE ON SUNDAY, MARCH 7, 2021 BETWEEN NOON AND 2PM

WCB Information Related to Novel Coronavirus (COVID-19)

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Doctor's Narrative Report (EC-4NARR) Web Submission Process

Doctor's Narrative Report - (EC-4NARR)

It is anticipated that all versions of the C-4 medical billing forms (except the C-4.3) will be replaced by the required XML submission of the CMS-1500 form on or about July 1, 2021. Learn more about the CMS-1500 Initiative.

Pre-requisites

The health care provider must be authorized by the NYS Workers' Compensation Board. If you are not an authorized health care provider and would like to become one, complete and submit Health Providers Application for Authorization Under the Workers' Compensation Law MR/IME-1

A User ID and Password is required to submit this form. Complete the online application to register for Web Submission of Medical Forms.

Features

Sample EC-4NARR – Please read: Form Instructions

Medical narratives must be attached. Please read "Attachment Requirements".

Upon successful submission, the health care provider will be provided with a printable PDF version of the form to keep for their records and to be used to send required copies of EC-4NARR and all attachments to the insurance carrier and to the patient's attorney or licensed representative if he/she has one, if not send a copy to the patient. DO NOT MAIL THIS FORM TO THE BOARD.


To report permanent impairment, submit form Doctor's Report of MMI/Permanent Impairment (C-4.3).

List of Online Forms for Health Care Providers

Access EC-4NARR