Index of /static

• Parent Directory
• 1-FECA_Auth_Form.pdf
• 1_FECA_PE_02-06-05.pdf
• 2-DEEOIC_Auth_Form.pdf
• 27Aug2025/
• 2_DCMWC_PE_02-06-05.pdf
• 3_DEEOIC_PE_02-06-05.pdf
• 5010_ ProviderTraining_Rev 4.pdf
• ACH Vendor Payment Information Form.pptx
• ActivitySheetforFieldNurse.docx
• AdditionalProviders.pdf
• Adjustments_Process_FAQdocument_claimants.pdf
• Adjustments_Process_FAQdocument_providers.pdf
• Align_Web_Posting _OWCP_Approved.pdf
• Auth_Form-DME_1-12_ENERGY.pdf
• Auth_Form-PT_1-12_ENERGY.pdf
• Auth_Form-gen_med_1-12_ENERGY.pdf
• Authorization_Request_Home_Health.pdf
• Authorization_Request_Transplant.pdf
• Black_Lung_Address_Change_Form.pdf
• Black_Lung_Address_Change_Form.pdf.04212020
• CA 26 LMN Compounded Drugs - Instructions.pdf
• CA 27 LMN Opioid Drugs - Instructions.pdf
• CA 27 LMN Opioid Drugs - Instructions.pdf.070121
• CM-893.pdf
• CQS_Training_Document.pdf
• ClosureReport.docx
• DCMWC D.0 Pharmacy Payer Sheet.pdf
• DCMWC D.0 Pharmacy Payer Sheet.pdf.080124
• DCMWC D.0 Pharmacy Payer Sheet_Third Party Biller.pdf
• DCMWC Pharmacy Payer Sheet_D.0.pdf
• DCMWC_Address_Change_Form_08-2025.docx
• DCMWC_Address_Change_Form_08-2025.pdf
• DCMWC_Address_Change_Form_08-2025.pdf_11122025
• DCMWC_EDI_Form_1.pdf
• DCMWC_EDI_Form_1.pdf.04212020
• DCMWC_EFT_Form_1.pdf
• DCMWC_EFT_Form_1.pdf.04212020
• DCMWC_EFT_Form_1.pdf_06aug2025
• DCMWC_EFT_Form_1.pdf_09162025
• DCMWC_EFT_Form_1.pdf_11192025
• DCMWC_EFT_Instructions_1.pdf
• DCMWC_Facility Provider Reenrollment Application.docx
• DCMWC_Group Provider Reenrollment Application.docx
• DCMWC_ICD10_EDITS.pdf
• DCMWC_ICD10_FAQ.pdf
• DCMWC_ICD10_PPT.pdf
• DCMWC_Individual Provider Reenrollment Application.docx
• DCMWC_Instructions_and_Form_2.pdf
• DCMWC_card_back.jpg
• DEEOIC D.0 Pharmacy Payer Sheet.pdf
• DEEOIC D.0 Pharmacy Payer Sheet.pdf.080124
• DEEOIC D.0 Pharmacy Payer Sheet_Third Party Biller.pdf
• DEEOIC Pharmacy Payer Sheet_D.0.pdf
• DEEOIC-Adjustment_Request.pdf
• DEEOIC_Address_Change_Form_08-2025.pdf
• DEEOIC_Address_Change_Form_08-2025.pdf_1112225
• DEEOIC_EDI_Form.pdf
• DEEOIC_EDI_Form.pdf.04212020
• DEEOIC_EFT_Change_Form12.pdf
• DEEOIC_EFT_Change_Form12.pdf.04212020
• DEEOIC_EFT_Change_Form12.pdf_06aug2025
• DEEOIC_EFT_Change_Form12.pdf_09162025
• DEEOIC_EFT_Change_Form12.pdf_11192025
• DEEOIC_Facility Provider Reenrollment Application.docx
• DEEOIC_Group Provider Reenrollment Application.docx
• DEEOIC_Helpful_Hints.pdf
• DEEOIC_Individual Provider Reenrollment Application.docx
• DEEOIC_OWCP-1500_Instructions.pdf
• DEEOIC_Provider_Enrollment_Form_Final.pdf
• DEEOIC_UB-92_Instructions.pdf
• DEEOIC_card_front.JPG
• DFEC Pharmacy POS Payer Sheet_D.0.pdf
• DFEC Pharmacy Third Party Billers Payer Sheet_D.0.pdf
• DFELHWC Pharmacy POS Payer Sheet_D.0.pdf
• DFELHWC Pharmacy Third Party Billers Payer Sheet_D.0.pdf
• DME_form_011205.pdf
• DOL_5.1_B1-B3_Black_Lung_Program_8-1-10.pdf
• DOL_5.1_B1-B3_Energy_Program_03-11-11.pdf
• DOL_5.1_B1-B3_Energy_Program_8-1-10.pdf
• DOL_FECA_1.1-5.1_Batch_Billing_Payer_Sheet.pdf
• DOL_FECA_5.1_B1-B3_Transactions_Final_for_Regular_Payers_8-1-10.pdf
• DOL_FECA_5.1_B1-B3_Transactions_Final_for_Third_Party_Billers_8-1-10.pdf
• Dental2002.pdf
• EDI_Form.pdf
• EDI_Form.pdf.04212020
• EDI_enrollment_form_(Adobe).pdf
• EEOICPA_ICD10_EDITS.pdf
• EEOICPA_ICD10_FAQ.pdf
• EEOICPA_ICD10_PPT.pdf
• EFT_Form_2.pdf
• EFT_Form_2.pdf.04212020
• EFT_Instructions.pdf
• ENRG-Address_Change_Form_08-2025.doc
• Energy_ Address_Change_Form.pdf
• Energy_ Address_Change_Form.pdf.04212020
• FECA_Facility Provider Reenrollment Application.docx
• FECA_Group Provider Reenrollment Application.docx
• FECA_ICD10_FAQ.pdf
• FECA_ICD10_PPT.pdf
• FECA_Individual Provider Reenrollment Application.docx
• FECA_UB-92_Instructions.pdf
• Facility Provider Reenrollment Application.docx
• Form_CA-915.pdf
• Form_OWCP-1500.pdf
• General_Medical_form_111205.pdf
• Group Provider Reenrollment Application.docx
• How to Complete a Provider Enrollment Application - Facility.pptm
• How to Complete a Provider Enrollment Application - Group.pptm
• How to Complete a Provider Enrollment Application - Individual.pptm
• How to Complete an ACH Vendor Payment Information Form.pptx
• How_To_Submit_UB-92_Bills_to_ACS.pdf
• How_To_Submit_a_Paper_Pharmacy_Bill.pdf
• How_to_Submit_HCFA1500_Bills_to_ACS.pdf
• How_to_Submit_HCFA_BL_FINAL_1-10-051.pdf
• How_to_Submit_OWCP_04_Black_Lung.pdf
• How_to_Submit_OWCP_04_Energy.pdf
• How_to_Submit_OWCP_04_FECA.pdf
• How_to_Submit_OWCP_1500_Black_Lung.pdf
• How_to_Submit_OWCP_1500_Energy.pdf
• How_to_Submit_OWCP_1500_FECA.pdf
• How_to_Submit_UB-92_Black_Lung_1-10-05_FINAL1.pdf
• ICD-10 Providers-Information-Updated.pptx
• ICD-10.html
• ICD-10.html.090320
• ICD-10.html.100520
• ICD-10_Logo.png
• Individual Provider Reenrollment Application.docx
• J-Code_Unspecified_form.pdf
• LMN Compounded Drugs.pdf
• LMN Opioids.pdf
• Mandatory_EFT_Provider_Enrollment_Presentation.ppt
• NALC_200_Form.pdf
• Non_Workers_Compensation_Claimants.html
• NurseContractor_MaxAmounts.pdf
• OWCP-04.pdf
• OWCP-1168.pdf
• OWCP-1168_DCMWC.pdf
• OWCP-1168_DEEOIC.pdf
• OWCP-1168_FECA.pdf
• OWCP-1500 (approved 2003).pdf
• OWCP-1500.pdf
• OWCP-915.pdf
• OWCP-92 Instructions.pdf
• OWCP-957.pdf
• OWCPSurvey.png
• OWCPSurveyLetter.pdf
• OWCP_Enhancements_to_Adjustments_Process_Claimant_Outreach.ppt
• OWCP_Enhancements_to_Adjustments_Process_Prov_Outreach.ppt
• OWCP_Enhancements_to_Adjustments_Process_Spanish_version_AMENDED_2nd_FINAL032210.ppt
• PT_and_OT_form_011205.pdf
• Provider Brochure.docx
• Provider Enrollment Application-Facility.pptx
• Provider Enrollment Application-Group.pptx
• Provider Enrollment Application-Individual.pptx
• Provider Enrollment Overview.pptx
• Provider_Address_Change_Form.pdf
• Provider_Address_Change_Form.pdf.04212020
• Provider_Address_Change_Form.pdf.100520
• Provider_Enrollment_Form_Final.pdf
• Re_Enrollment.pptx
• Retrieving Remittance Voucher.pdf
• Retrieving Remittance Voucher.pdf.100620
• SF1012Travel.pdf
• TPA_Generic2.pdf
• TelephonicNurseActivitySheet.docx
• Travel_Auth_Request.doc
• Travel_Auth_Request.pdf
• UB-92.pdf
• UB-92old.pdf
• VRProgressReport.dot
• VocRehab_MaxAmounts.pdf
• Web_Bill_Submission_Agreement.pdf
• acsContactInfo.html
• acs_offline.html
• adjustment_request.pdf
• agency_offline.html
• agency_offline.html.04212020
• allprogramsarchiveannouncements.html
• announcement.pdf
• archiveAnnouncements.html
• bklgarchiveannouncements.html
• bklgformsandlinks.html
• bootstrap.min.css
• bootstrap.min.css.map
• bootstrap.min.js
• bootstrap.min.js.091321
• bootstrap.min.js.map
• claimant_offline.html
• claimantlogininstructions.html
• compatibility.html
• cp
• dol_outage/
• enrgarchiveannouncements.html
• enrgformsandlinks.html
• fecaarchiveannouncements.html
• fecaformsandlinks.html
• formsandlinks.html
• formsandlinks.html.022924
• formsandlinks.html.102623
• fs04asc_pymt_grp.pdf
• fs04asc_pymt_grp.xls
• fs05asc_pymt_grp.pdf
• fs05asc_pymt_grp.xls
• fs06asc_pymt_grp.pdf
• fs06asc_pymt_grp.xls
• fs07asc_pymt_grp.pdf
• fs07asc_pymt_grp.xls
• fs08asc_pymt_grp.pdf
• fs08asc_pymt_grp.xls
• fs09asc_pymt_grp.pdf
• fs09asc_pymt_grp.xls
• fs10asc_pymt_grp.pdf
• fs10asc_pymt_grp.xls
• fs11asc_pymt_grp.xls
• fs12asc_pymt_grp.xls
• fs13asc_pymt_grp.xls
• fs14asc_pymt_grp.xls
• fs15asc_pymt_grp.xlsx
• fs16asc_pymt_grp.xlsx
• fs17asc_pymt_grp.xlsx
• fs18asc_pymt_grp.xlsx
• fs19asc_pymt_grp.xlsx
• jquery-3.5.1.slim.min.js
• jquery3.5.1.js
• megamenu.html
• popper.min.js
• popper.min.js.091321
• popper.min.js.map
• prov_entersite.html
• prov_entersite.html.02052025
• prov_entersite.html.022924
• prov_formsandlinks.html
• prov_formsandlinks.html.022924
• prov_formsandlinks.html.080124
• providerhome.html
• providerhome.html.013024
• providerhome.html.022924
• providerhome.html.031524
• providerhome.html.041823
• providerhome.html.04272023
• providerhome.html.070124
• providerhome.html.072524
• providerhome.html.07302025
• providerhome.html.092222
• providerhome.html.100624
• providerhome.html_04022026
• providerhome.html_06082026
• providerhome.html_09162025
• providerhome.html_11122025
• providerhome.html_12042025
• providerlogin.htm
• recipientlogin_sp.htm
• ssobklgformsandlinks.html
• ssoenrgformsandlinks.html
• ssofecaformsandlinks.html
• staff_entersite.html
• staff_entersite.html.02052025
• staff_entersite.html.022924
• staff_formsandlinks.html
• staff_formsandlinks.html.022924
• staff_formsandlinks.html.080124
• staff_formsandlinks.html.102623
• staffhome.html
• staffhome.html.022924
• staffhome.html.031524
• staffhome.html.041823
• staffhome.html.04272023
• staffhome.html.07302025
• staffhome.html.092222
• staffhome.html_04022026
• staffhome.html_06082026
• staffhome.html_09162025
• staffhome.html_11122025
• staffhome.html_12042025
• surveyLink.html
• topright_logo.png