C4 Forms - What Are They And When Do You Use Them?

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A C4 Form is a workers' payment board form titled "Attending Doctor's Report," that requests facts about claimaint/claim identification, claim parties of interest, injury history, diagnosis, treatment, disability, causal relation of emergency to disability, and degree of impairment. The form is to be filed by the physician within 15 days of the preliminary treatment, with additional reports during treatment, and a final narrative at the completion of treatment. Once the preliminary form is filed, subsequent visits should be billed out within 45 days of the visit.

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C4 forms are required when billing for services linked to workers' compensation, or when a inpatient was injured on the job. Many institution supervision systems come with these forms as a thorough guarnatee form listed in the guarnatee form menu of the program. That is the easiest way to submit them. You authentically print the claim on white paper, and the schedule not only prints up the charges and other information, but authentically creates the form too.
If your institution supervision law does not have the form available, you can usually get a blank form online through your state's website.

Once you have a blank form, you can either type the facts in, or if your software has the capabilities, you can schedule your software to fill in the boxes on the form. In any case, you will need to submit a copy directly to the workers' payment carrier, and the state workers' payment board as well.

It is highly foremost that all boxes on the C4 form are completed accurately. A copy of the form is submitted to the state workers' payment board and those forms are usually scanned into a computer system. When or if a case goes to a hearing, the facts on these forms is used. If the facts is not completed, or is not accurate, it can adversely work on the outcome of the hearing. For example, if the physician does not faultless the box indicating the inpatient is disabled, and the inpatient is truly disabled, the employers lawyers can argue that the disability has not been established. So even leaving a field blank can be detrimental.

The forms are fairly easy to fill out and are pretty self explanatory.

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