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Billing Black Lung Claims

Billing Black Lung Claims

IMPORTANT: Change in the Submission of Black Lung Claims

Effective October 1, 2012, the arrangement between the Funds and the Department of Labor (DOL) ended. This means claims for the treatment of black lung submitted on or after that date (regardless of date of service) must be submitted to DOL at the following address:

DCMWC
P.O. Box 8302
London, KY 40742-8302

All claims for treatment of black lung for beneficiaries who have black lung benefits through DOL must be sent to the DOL Black Lung Program. This does not include claims for beneficiaries who receive black lung benefits from programs other than the DOL Black Lung Program.

Beneficiaries receiving benefits through the DOL Black Lung Program should presenting their DOL-issued black lung card to their health care provider whenever they receive black lung related services from health care providers. This card contains information on registering as a black lung provider, billing information, and contact information for the DOL Black Lung Program.

If you are not already registered with DOL as a Black Lung Provider, you must do so. Please contact DOL at 1-800-638-7072 for instructions or go to http://www.dol.gov/owcp/dcmwc/regs/compliance/blcbpoutreach.htm for further information.

Effective October 1, 2012,  your billing instructions changed for claims that are submitted for your Black Lung patients. For the most recent billing updates from the DOL Black Lung Program, please log on to: http://owcp.dol.acs-inc.com

DOL Black Lungs’ latest billing developments are posted on the right side of the page. Of particular interest is the Division of Coal Mine Worker’s Compensation (DCMWC) billing update regarding how DOL Black Lung will reimburse physicians based on the first diagnosis on the HCFA-1500.

The Funds will continue to process claims for services and supplies not related to black lung. A separate claim must be submitted to the Funds claim processing address you currently use for these services and supplies.

Durable Medical Equipment (DME) Network providers should continue with the established policy for submitting claims to DOL, as there has been no change.

If you have any questions, you may contact the Funds at 1-888-865-5290.

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