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The majority of online services should now be restored. Users may still experience lingering issues with some applications. Prior Authorization Request due dates have been extended to July 22nd. Digital Notices are now available.

Due to planned OnBoard maintenance occurring between 2:00 a.m. to 5:00 a.m. ET on Monday, July 22, 2024, and between 2:00 a.m. to 2:30 a.m. ET on Tuesday, July 23, 2024, email and text notifications may not be generated during this period. Please check your dashboards for prior authorization requests (PARs) and PAR responses submitted during this period. All other functionality will be working, including updates to the electronic case folders in eCase.

Workers’ Compensation Resources for Claims Administrators

OnBoard: Limited Release, the first phase of the Board’s new online information system, is now available!

Learn About OnBoard CMS-1500

Payers’ Quick Links

Resources Payers

Special Disability Fund Reimbursements

Insurers may request reimbursement from the Special Disability Fund for claims with dates of accident before 7/1/2007 where the claimant was classified as permanently partially disabled (WCL §15(8)) or where the insurer is liable for paying concurrent employment benefits (WCL §14(6)).

Medical Records

HIPAA Restrictions and Medical Records

Under HIPAA’s Privacy Rule, the Workers’ Compensation Board, workers’ compensation insurers and employers are not covered entities and therefore may continue to use medical information concerning claimants in their customary manner.

Use of the Limited Release (Form C-3.3) in Controverted and Non-Controverted Claims

In adjudicating a workers’ compensation claim, an insurer may need to obtain records of the claimant’s prior relevant medical treatment. A process has been established for obtaining medical records in controverted and non-controverted claims.

Expanded Provider Law: What Payers Need to Know

In 2020, a law was implemented expanding the types of providers that can be authorized to treat injured workers in New York State. As of January 1, 2020, licensed clinical social workers, nurse practitioners and acupuncturists, as well as physician assistants, occupational therapists and physical therapists may apply to become Board-authorized providers.

Preferred Provider Arrangements

Learn about reporting requirements for insurers who have contracted with a preferred provider organization (PPO) for the treatment of workers’ compensation injuries and illnesses.