Billing Agents/Clearinghouses responsibilities in the EDI Processing
Each billing agent/clearinghouse must have an OWCP provider ID number to submit bills via the WCMBP system, and must provide their OWCP Provider ID number to each provider for whom they are billing.
Legacy billing agent/clearinghouses: OWCP provider information will transfer to the WCMBP system. They will receive a Welcome and Registration letters that provide information on how to access the system.
New billing agent/clearinghouse: Need to enroll with OWCP via the WCMBP System online enrollment process.
Provider Responsibility
Any provider who chooses to utilize the services of a third party biller (billing agent or clearinghouse) to submit bills must identify the OWCP provider ID assigned to the billing agent/clearinghouse on their own provider profile.
- Legacy providers whose provider profile is currently linked to a billing agent/clearinghouse: Information will transition over to the WCMBP system; the billing agent/clearinghouse will be able to submit EDI claims on or after April 27, 2020, through the WCMBP system.
- Legacy providers whose provider profile is NOT linked to a billing agent/clearinghouse: Providers
need to update their existing provider profile with the billing agent/clearinghouse provider information, including the billing agent/clearinghouse’s OWCP Provider ID. - New providers: Providers who select the option to submit bills via EDI on their enrollment application and must have the billing agent/clearinghouse OWCP Provider ID. The tutorials on how to complete an enrollment application is available at https://owcpmed.dol.gov under resources, training and tutorials.
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