Before rendering procedures, testing, therapy, durable medical equipment and other services to claimants under FECA, the Energy program (DEEOIC) or Black Lung, providers may need OWCP authorization. Requests are entered in the Workers' Compensation Medical Bill Process (WCMBP) Provider Portal, which shows immediately whether authorization is required and starts review on submission. Fax or mail requests on OWCP templates are also accepted.
The treating provider, who must be actively enrolled in the program covering the claimant, enters the service lines and attaches supporting medical documentation. The claimant completes nothing.
Download the current version from the source each time; forms change without notice.
Medical Authorization Request (OWCP Workers' Compensation Medical Bill Process portal)
U.S. Department of Labor, Office of Workers' Compensation Programs takes this form through its online services or your EMR, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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Yes, as templates. DFEC has templates for general medical, durable medical equipment, PT/OT, transportation, J-codes, surgical packages and home health, and DEEOIC uses Forms EE-22 through EE-32. Faxed or mailed requests not on the correct template are returned for resubmission.
No. OWCP says no registration is needed to access the authorization templates, which are on the portal's Forms and References page, selected by program. Submitting through direct data entry, however, requires active enrollment in the claimant's program.
Enter the request in the WCMBP Provider Portal: OWCP says the portal instantly confirms whether authorization is required and, if it is, starts the review at submission. Faxed and mailed requests can take up to 24 hours longer to reach review.