DOL Re-Enrollment Project 9/19/2018

Executive Summary Department of Labor’s Office of Worker’s Compensation Program (OWCP) has launched a Re-Enrollment Project , that will provide assurance that all data referenced in the current provider files of all actively enrolled provider’s is verified and updated where applicable. This verification process will result in updates applied with the most current and accurate information for bill processing. Make changes 9/19/2018

Provider File Information to be Verified for Re-Enrollment The re-enrollment project, is an automated process conducted using several public databases. The information identified from the public databases will be compared with the providers current enrollment data. The compare/verification will include: Provider demographics, NPI, Taxonomy Specialty type Licensure EFT and Proof of Medicare Certification where applicable. Make changes 9/19/2018

Re-enrollment Process The Re-Enrollment Process will allow verified provider data to be systematically uploaded directly into the Xerox provider file. The provider will experience no interruptions or delays in receiving payment for services rendered. Please Note: Your assigned Xerox provider number will remain the same. Make changes 9/19/2018

Updates/Changes to the Provider File 9/19/2018

Update/Change If your current provider file has been verified via the public databases, and identified that the verified provider data is different from the current provider file data (e.g. license number, address, telephone, taxonomy, etc.) the provider will receive an “Update/Change Letter” applicable to any or all of the OWCP Programs: (FECA, ENRG, or BLNG). The letter will alert you as the provider, of the specific changes that have been made to your provider file. You will have 30 calendar days to contest any verified data referenced in the letter. ** No response required from the provider, unless the provider disagrees with the information listed on the letter. Make changes 9/19/2018

Re-Enrollment Required 9/19/2018

Unable To Verify Provider Data Manual Re-Enrollment is Required If after the provider file has been verified, and the provider data is unable to be verified via any public databases, the provider will receive a Re-Enrollment Letter and Enrollment Application. The letter will show the missing or invalid information that could not be verified. The Enrollment Application must be completed and returned within 30 calendar days. **Note: Failure to return the completed application will result in processing delays. 9/19/2018

Returning Enrollment Application (RTP) 9/19/2018

Return to Provider (RTP) If an incomplete Enrollment application is received, the application will be returned to the provider along with an RTP Letter that will identify the missing information. Note: Corrected information is required to be returned within 30 days of the date on the RTP letter. Make changes 9/19/2018

To ensure that all provider information in the provider record remains current, the verification of provider data will be conducted continuously (e.g. license expiration date, address, telephone, taxonomy, etc.) as long as the provider is an actively enrolled provider in one of the OWCP Programs (FECA, DEEOIC, or DCMWC).   Make changes 9/19/2018