Washington State Department of Labor & Industries (workers compensation)

L&I's Provider Hotline researches complex billing issues (have your PDF remittance advice open), answers Medical Aid Rules/WAC/RCW questions, provides PT/OT/massage visit counts and handles hotline-level authorizations. Secure email PHL@lni.wa.gov is also accepted. Applies to State Fund claims; self-insured employers and their third-party administrators handle their own claims in Washington. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

L&I's automated line (have the provider account number ready) gives claim manager name, claim status, authorization status, bill payment status and PT/OT/massage visit counts. Applies to State Fund claims; self-insured employers and their third-party administrators handle their own claims in Washington. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

Fax requests for the listed hotline-authorized services (for example physical or occupational therapy visits beyond the first 12, using form F245-417-000) to this number. Utilization-reviewed services (inpatient, selected surgery, advanced imaging, spinal injections) go through Comagine Health instead. Applies to State Fund claims; self-insured employers and their third-party administrators handle their own claims in Washington. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

L&I's billing page: all bills and adjustments are mailed to the P.O. box below; L&I does not accept faxed bills. Put the L&I claim number on every page. Reports and chart notes go to a separate address and fax. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

L&I's billing page: fax or mail correspondence, reports and chart notes (SOAPER format) and claim-related documents other than bills. Never fax bills. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

Providers send the Report of Industrial Injury or Occupational Disease (F242-130-000), due within 5 days of the first visit, to this fax (360-902-6690 is the alternate fax) or P.O. box. This is injury reporting by the provider, not bill submission. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

L&I contracts with Comagine Health (formerly Qualis Health) for utilization review; requests are submitted through the Comagine Health Provider Portal. The fax is published for changes to CPT codes or dates of service on reviewed inpatient/outpatient requests (include a coversheet and the operative report). Phone 206-366-3360 is also published. Applies to State Fund claims; self-insured employers and their third-party administrators handle their own claims in Washington. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

The L&I Office of the Medical Director UR unit is listed on the UR requirements page for additional information about utilization review. For process questions, not routine request submission. Applies to State Fund claims; self-insured employers and their third-party administrators handle their own claims in Washington. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.