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Workers' Compensation Board

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XML Forms Submission

Registration for EC-4 NARR XML Forms Submission

NYS Health Care Providers that have been authorized by the Board to treat workers' compensation injuries are eligible for XML submission of EC-4 NARR forms. 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 adobe pdf.

Health Care Providers who enter into an agreement to have their EC-4 NARR form data submitted to the Workers' Compensation Board by a Board Authorized XML Submission Partner must complete this registration before the Workers' Compensation Board will accept their EC-4 NARR form data from the Board Authorized XML Submission Partner.

Once a Health Care Provider registration is received and his/her eligibility to participate is verified, the Health Care Provider will be required to sign a legal agreement with the Board specifying his/her obligations. The Health Care Provider will be mailed an agreement regarding XML EC-4 NARR submission which needs to be signed in presence of a notary public, and returned to the Board. The Health Care Provider should make a copy for his/her records and send the original to the Board. The Board will notify the Health Care Provider by e-mail, at the e-mail address provided on the registration, that he/she may inform the Board Authorized XML Submission Partner that they may begin submitting the Health Care Provider's EC-4 NARR form data to the Board.

If EC-4 NARR form data is submitted to the Board using the XML Form Submission process, please DO NOT mail a duplicate paper form to the Board. The Workers' Compensation law requires you provide copies to the claimant, employer, insurance carrier, claimant representative, etc.; it is the Health Care Provider's responsibility to ensure that this reporting requirement is met.