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Workers’ Compensation Board

WCB Information Related To Novel Coronavirus (COVID-19)

How to Register - Health Care Provider Web Forms

Please Note: 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 July 1, 2021. Learn more about the CMS-1500 Initiative.

For a list of forms which may be submitted online, please refer to the List of Available Forms

To apply for a user ID and password to submit medical forms via the Board's web site follow the steps outlined below:

  • Read Overview/Features.
  • Verify that your computer satisfies the Minimum Technical Requirements.
  • Registrations will be processed in the order in which they were received.
  • Upon receipt the registration will be reviewed and if approved, a user ID will be sent via e-mail to the address given on the registration.
  • The password will be sent via United States Postal Service to the Board authorized health care provider.

If you have questions regarding completing the registration, you may contact the WCB Customer Support Unit. Be sure to indicate to the WCB Customer Support Unit that you would like help in applying to submit health care provider medical forms via the Board's web site.

If the Board's support unit has any questions regarding your registration, you will be contacted.