Date: January 22, 2009
One of the goals of the Workers' Compensation Reform initiative is to enhance the service the Board provides to injured workers, employers and stakeholders. A critical element of this effort is the redesign of forms the Board uses to gather information about a claim. The goal of the forms redesign effort is to develop more user-friendly forms while collecting additional information needed to more quickly process and resolve claims, including claims that have been controverted.
On September 16, 2008, the Board posted a revised Doctor's Initial Report (Form C-4) and a new Doctor's Progress Report (Form C-4.2) on its website for medical providers to begin using by January 1, 2009. After numerous requests from doctors to delay the mandatory use of the new C-4 forms, the Board has extended the transition period through March 31, 2009. Use of the new and revised C-4 forms will now be mandatory beginning April 1, 2009. In addition, the Board has released new Form EC-4NARR, an electronic narrative version of Forms C-4 and C-4.2. The EC-4NARR contains significantly fewer questions than Forms C-4 and C-4.2 and standard information can be saved and used as a basis for future reports. The doctor must include a narrative attachment with the form which will provide all the additional information which otherwise would be provided on the paper version of the forms. To assist the doctor, a detailed list of required information that must be included in the narrative attachment is available on our website at:
Form EC-4NARR can only be accepted by the Board through electronic submission.
The Board can only accept the EC-4NARR as an equivalent to Forms C-4 or C-4.2 if it includes a narrative attachment and is filed electronically with the Board.
Form EC-4NARR is available in a new Adobe format which includes features to assist in completing and electronically submitting the form. In addition, the Board is prepared to work with providers, practice management software vendors and third parties to accept EC-4NARR forms through electronic batch submissions, which offers the possibility of insurance carriers also receiving the report electronically.
Additional information on Form EC-4NARR and the electronic submission options, can be found at:
Please be sure to check this page for additional updates.
Zachary S. Weiss