When booking a new client as an L&I  appointment, you will need to first have a referral from their doctor, naturopath or chiropractor and who their claim is through (WA State, Sedgwick, Corvel, etc.), claim#, date of injury, name of their claims manager and the manager's phone number. Save the digital or paper referral in the Scanned Documents as Last, First Name, Date of Referral. (example: Smith, Joe 01.01.21 Ref) Attach the referral to the client files. Notes will be similar to health insurance. Please be sure to include the name of the L&I firm handling the claim.

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Example: Sedgwick L&I Claim# 123456789-0012 DOI: 12/22/24 Adjuster: Mandy Jones 123-456-7890 Fx: 123-456-7891 Rx: 01/07/25 Dr. John Doe, DC NPI# 123456789 Dx: S13.4XXA (sprain of ligaments of cervical spine) 12 visits

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BEFORE booking with the client, call the claim manager and verify that the claim has been allowed and the first 6 visits are approved. Just because the client has a claim number does not mean the claim has been allowed. Note that all L&I approvals are done in sets of 6 visits.

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After the client has had their first 6 visits, they may request more IF the therapist and the client's doctor feel that they could benefit from continued care. Complete the L&I Authorization form and have the therapist sign. Fax in to the claim manager with the existing or new referral (some referrals are for more than 6 visits). Wait till we have an approval to schedule more appointments.

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State Claims: First 6 visits are automatically allowed. However, you must verify that the claim has been allowed and is open. You may check massage visit counts by calling 800-831-5227. The second set of massage visits must be requested faxing in the L&I Authorization form and the third by calling the claim manager for approval. A fourth set will require a file review by the L&I nurse.

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Puget Sound Worker's Compensation Trust:

All bills and soaps for this company MUST BE MAILED TO:

800 Oakesdale Ave SW

Renton, WA 98057