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Wisconsin has implemented the new pandemic related codes approved by WCIO. Cause of Injury Pandemic can be found under the drop down menu Struck or Injured By; Nature of Injury Covid-19 can be found under the drop down menu Non-Traumatic Diseases and Disorders; Nature of Injury Adverse Reaction to a Vaccination or Inoculation can be found under the drop down menu Multiple Traumatic Injuries and Disorders.
Per new guidance from the WCIO, Nature of Injury Adverse Reaction to a Vaccination or Inoculation should only be used with either Cause of Injury Absorption, Ingestion, Inhalation (NOC) or Cause of Injury Pandemic.
The Insurers' Pending Report system was designed as an informational tool to alert insurers on which and when required claim reports are due to the Worker's Compensation Division.
The Insurers' Pending Report system key points:
The Pending Report system is a secure site which requires the use of log-on identifications and passwords. Please read the instructions on how to Access to WC Secured Sites Using the DWD/WI Logon Management System before you attempt your first login.
Use the DWD/WI Logon Management System Access to proceed with your activation. Insurers are responsible for granting access to users.
REMINDER: There is only one account per e-mail address.
If a password is lost or forgotten, go to: Password Recovery.
Log into the Insurers' Pending Reports in order to view outstanding claims reports.
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-13A 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.
If you cannot remember your password or think that your account is locked, then go to the DWD/WI Logon Management System Main (or instruction) Page:
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 Insurer or Claim Handler drop down menu. It may be the case that the claim in question is either closed, litigated, filing complete or ready to close in our database. You can now search for these types of claims. See below.
On the claim search screen select the claim not pending required report radio button and then select and enter the appropriate search criterion.
Click the WC Number hyperlink and you will be taken to the claim detail screen. If you need to look at the payment history, click the View Payments button. If you need to re-open the claim in order to report further payments, click the Re-Open Claim button.
Click the WC Number hyperlink and you will be taken to the claim detail screen. For this type of claim you will only be able to view the payment history. In order to do this click on the View Payments button. Any information that you need to report must be sent via paper.
Click the WC Number hyperlink and you will be taken to the Claim Details screen. If you need to look at the payment history then click the View Payments button. 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. You can even hit your refresh button to see any changes made to our database while you are logged in. 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 Kofax 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, and we strongly encourage any insurer with voluminous claims to provide claims-handling staff with web site access. 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, which is a hyperlink. This will take you to the Claim Details screen. From here you can also click on the View Payments button to see all of the payment information associated with the claim.
Yes. We have added a Due Date column that tells you our deadline for receiving the required information based on the claim's status. The Claim Details screen also contains status messages in red, and some of them have their own due dates that may be different from the date in the Due Date column.
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 and then click on the Send WKC-13 button. Under the claim status section select the No Lost Time radio button and enter the return to work date. 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 Email Reply button or the phone, and let us know that you believe you are not the responsible carrier. We will research this and assign the correct carrier. If you are not the carrier the claim will drop off of your report when we make the correction to our database.
Yes. Follow the instructions for downloading Pending Reports Data
This status is a listing of all claims for which we need some sort of wage information. The first sub-list is entitled "Expecting Wage Information Supplement, WKC13A." On this list you will find all of the claims, NOT under wage investigation, for which we need a WCK-13A. The second sub-list, "Expecting Reply to Wage Investigation Correspondence," lists all of the claims which are currently under a wage investigation.