Insurer/Medical Provider Resources

Annual Rate Change

Adoption of the Average Rate for the U.S. 10-Year Treasury Bills... Read More

Electronic Prior Claim (EPC) History System

Electronic Prior Claim (EPC) History System... Read More

Historical Fee Schedule Conversion Factors for 2003-2007

Pursuant to section 39-71-704 (4), MCA, and an administrative rules change to 24.29.1572, and 1582, ARM, on July 1, 2002, the Department adopted the following conversion factors, effective July 1, 2002, for use with the unit... Read More

Meals, Lodging and Mileage

Section 39-71-704(1) (d), MCA, directs WC Insurers to reimburse workers for reasonable travel expenses pursuant to rates allowed for state employees. When determining the reimbursement, please refer to 39-71-704(1), MCA and ARM 24.29.1409... Read More

Third Party Administrator Notification

Montana statute requires insurers to notify the Department of Labor & Industry of any changes of third party administrators with respect to the handling of Montana workers’ compensation claims. The insurer must notify the department in writing 14 days... Read More

Workers' Compensation Benefits Summary

The information in these pamphlets is a summary of the most commonly requested information on workers' compensation wage loss and medical benefits available to covered employees injured on the job. It is not all-inclusive... Read More

Workers' Compensation Claim Reporting by Insurers

All insurers are to file a complete report of every injury or occupational disease to the department, either on a paper claim form or by electronic means within specified timelines. Electronic reporting is required... Read More

Claim Reporting

Used by an injured worker, empoyer or insurer/adjuster to report an injury or occupational disease... Read More

Electronic Data Interchange (EDI)

Used by insurers and adjusters as a quick, efficient method of communicating data to the Department... Read More

Electronic Prior Claims (EPC) Forms

Electronic Prior Claims (EPC) Forms... Read More

First Report of Injury (FROI) Forms

Used by an injured worker to report an injury or occupational disease to his/her employer... Read More

Independent Medical Review Form

The forms listed below are those commonly used in the Medical Regulation Unit functions of the workers' compensation system... Read More

Insurers - Third Party Administrators Reporting Forms

Used to report changes in adjuster, claim administrator, or third party administrators... Read More

Medical Status Form

‚ÄčThe REVISED Medical Status Form is now available. Based on feedback from medical providers, the Department determined there was a need to revise the form. The revised form reflects... Read More

Petition for Mediation Conference Form

Under Montana law, parties must attempt to resolve their disputes BEFORE seeking mediation. Mediation is required in most cases before a petition may be filed in the Workers' Compensation Court... Read More

Petition for Settlement Forms

The forms listed below are those commonly used in the Claims Assistance Units Functions of the workers' compensation system... Read More

Subsequent Injury Fund

The department manages the Subsequent Injury Fund, a program designed to assist individuals with disabilities obtain employment... Read More

Domiciliary Care

When a worker suffers from a condition that requires 24-hour care and that results from the accident but that requires domiciliary care other than as provided in Title 37, chapter 8, the care... Read More

HIPAA and Release of Workers' Compensation Information

The Employment Relations Division of the Department of Labor and Industry released this bulletin effective March 2003... Read More

Mediation Guide for Insurers

The purpose of mediation is to prevent, when possible, the filing in the Workers' Compensation Court of disputes by injured workers or insurers if a fair and reasonable resolution can be reached at an earlier stage... Read More

Medical Regulations

The Medical Regulations Unit is responsible for publishing updates to the Montana Professional Fee Schedule and the various Montana Facility Fee Schedule components on the Department’s website... Read More

Stay at Work/Return to Work Project

Minimize avoidable disruption caused by work-related injury or occupational disease and assist the injured worker to return as soon as possible to... Read More

Workers' Compensation Frequently Asked Questions

The following are frequently asked questions and answers, you may also find answers in the Benefits Summary. Nothing on this website is intended as legal advice... Read More