Insurers' Pending Report

Not necessarily, since the Insurers' Pending Reports is just a reflection of the information in the WC Division database. It simply shows what information we are expecting for every open, non-litigated claim that we have on our system. For example, if we receive a first report, the Pending Reports will immediately reflect the fact that we are waiting for the first WKC-13 for this claim. That does not necessarily mean that the WKC-13 is late.

If the WKC-13A1 was submitted via the Internet it may need to be reviewed by our staff, so the information submitted will not be updated (or, sometimes, the claim's status changed) until this occurs. Please do not re-submit the same information. If the information sent is not complete, or the report not final, we will let you know either by a letter or through the Pending Reports. If the claim has not been updated in a timely manner to reflect the information sent, contact us.

Account recovery can be accessed by navigating to https://apps.wisconsin.gov. From there click on the link for “Unlock Account?” or “Help”. There is a specific helpdesk to call for account related issues, available 24 hours a day, at 608-471-6667. Additional account resources and information can be found at DET MyWisconsin ID.

Please contact the WC Division if you think we are missing claims. It is possible that we have an incorrect insurer and/or third party administrator associated with the claim, the claim is closed, litigated or we never received the first report of injury.

You should check your search criteria for accuracy and/or make sure that you have selected the correct insurance carrier, third party administrator, or self-insured employer from the "Choose an insurer or claims handling office" drop down menu.

Click the WC Claim Number hyperlink and you will be taken to the Claim Details screen. If you need to look at the payment history, click the Payment Info Tab. If you need to re-open the claim in order to report further payments, click the Reopen Claim button.

Click the WC Claim Number hyperlink and you will be taken to the Claim Details screen. For this type of claim you will only be able to view, if applicable, the payment history, Open Correspondence, PPD Worksheet, Submission History, and View Documents by clicking on the appropriate tabs. Any information that you need to report must be sent via paper or the Litigated Fax Number.

Click the WC Claim Number hyperlink and you will be taken to the Claim Details screen. If you need to look at the payment history then click the Payment Info Tab. If you need to reset the claim status in order to report further payments then click the Reset Status button.

These types of claims are still open in our database, but we already have all of the required reports from you.

This information is as current as our database, as it is a real-time reflection of the information in our system. Please check the "processing incoming mail" date listed on the home page, to which you are taken after logging into the Pending Reports, in order to see the "receive" date that we are currently processing.

We recommend you set up a routine process so that someone in your office is responsible for accessing this information on a regular basis. We believe the Insurers' Pending Reports is a powerful tool that can help you improve your claims reporting process. The Pending Reports will be especially helpful to any claims office that has been relying on mailed warning notices before submitting required reports.

Click on the WC Claim number hyperlink and you will be taken to the Claim Details screen. From here you can access various information regarding the claim, such as Payment Information, Open Correspondence, any PPD worksheet that might exist for the claim, and a Submission History of past Pending Reports submissions.

What we expect from you is an expected date as to when you hope to obtain a medical report and send it to us. If you have made several attempts to get one without success, either let us know or request the worker to get one and provide us with a copy of the request. We will try to help you obtain a medical report.

Yes. You can close the claim yourself via the Pending Reports. Click on the WC Claim Number hyperlink to get to the Claim Details screen and then click on the Send WKC-13 button. To the right of the Claim Status heading select the No Lost Time radio button and enter the return to work date. If applicable, then our program will automatically close the claim as no lost time. In those rare cases where the claim is no lost time but there is permanent disability, please do not close the claim as no lost time.

Please contact us via the Send Email button, and let us know that you believe you are not the responsible carrier or TPA. We will research this and assign the correct carrier or TPA. If you are not the carrier or TPA, the claim will drop off of your report when we make the correction to our database.

Yes. Click Download on the left side menu on the Pending Reports landing page and then click Download Reports. You will be able to choose from various claim status as well as choose All Claims. You will then have to choose a timeframe. The results will appear as a downloadable spreadsheet; they will not appear on your screen.