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What's New

• Upcoming Subcommittee Meetings

• Informational Sessions for Providers, Bill Reviewers, and Claims Handlers PDF icon

• 2012 Manual Now Available

• 2012 Rules and Fee Schedules Now Available


Health Care Services Rules

• HCS Rules, Manuals & Fees

• Current Health Care Services Rules PDF icon (R 418.10101 - 418.101504)

• Health Care Services Rules Prior to May 11, 2000


Online Reporting System

• Annual Medical Payment Report (406)

• Application for Certification of a Carrier's Professional Health Care Review Program (590)


Meetings and Seminars

• Upcoming Subcommittee Meetings

• Informational Sessions for Providers, Bill Reviewers, and Claims Handlers PDF icon

• 2013 Advisory Committee Meetings


Forms & Publications

• Form CMS-1500 PDF icon

• Medical Services: An Overview for Michigan Workers' Compensation PDF icon

• WC-104B (1/12) - Health Care Services Application for Mediation or Hearing (fill-in form) PDF icon

• WC-117H (1/12) Provider's Report of Claim & Request for Medical Payment PDF icon

• WC-739 (2/12) Carrier's Explanation of Benefits PDF icon

• WC-750 (2/13) Provider's Request for Reconsideration (fill-in form) PDF icon


Other Information

• Professional Review Policy PDF icon

• Publication of Injured Worker's Social Security Number on the EOB

• Provider's Report of Claim & Request for Medical Payment Form

• Copying Fee Charges by Health Care Providers under a Subpoena

• Health Care Services Rule Requirement to Reimburse Providers a 3% Late Fee for Payments That Exceed 30 Days




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