Urgent Workers Compensation Notice
The workers compensation insurance rating bureau recently updated the reporting requirements for first aid claims. Effective January 1, 2017 employers are now required to report ALL first aid claims regardless of whether the employer or insurance carrier paid for the first aid medical services. The term small medical only claim is also used to refer to first aid claims.
California labor Code section 5401 defines First Aid as any one-time treatment, and any follow-up visit for the purpose of observation of minor scratches, cuts, burns, splinters and so forth, which do not ordinarily require medical care. Such one-time treatment and follow-up visit for the purpose of observation is considered first aid even though provided by a physician or registered professional personnel.
Prior to January 1, 2017 employers had the option of not reporting and submitting first aid claims to their insurance company. In opting to pay the expense out of their own pocket, employers could avoid having these claims included in the calculation of their Experience Modification, thereby lowering their individual calculation. Every Physician attending any injured employee must send copies of the Doctor’s First report of Occupational injury or illness to the worker’s compensation insurance carrier or employer within five days of the initial examination.
We recommend that you immediately discontinue the practice of paying first aid claims and notify all of those within your company who handle Workers compensation claims of this new policy.
If you should have any further questions regarding the handling of small medical only or first aid claims please contact the team at Basi insurance services.