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Welcome to Efficiency Enhancements – a new communication with tips and best practices on using NYS Workers’ Compensation Board systems, processes, and forms in the most efficient, effective manner.
Submitting Request for Action (RFA) forms – be specific
When submitting a Request for action (RFA) form, be sure to identify the specific request for action by always using the appropriate checkbox where applicable instead of the “other” checkbox. Requests that do not identify the precise action requested or the specific findings and awards requested (e.g., awards for lost time without period or rate) will cause delays and may require additional information and/or evidence to explain or support the request. It will save time and effort to include that information with the original RFA.
As with other Board forms, only one RFA form submission for a particular request is needed. Submitting duplicate RFAs on the same day or within days of one another for the same topic is unnecessary and will cause delays.
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RFA forms and the EC-81.7 process
An RFA is not necessary and should not be filed to request an issuance of a Notice Regarding Possible Award for Permanent Injury (SLU or Facial) (EC-81.7), to advise the Board of documents that have been submitted in response to the EC-81.7, or to request action on those documents. A decision will be issued as promptly as possible upon receipt of any documents or the expiration of the 75-day abeyance period, whichever is earlier. An RFA is only required as a response to the EC-81.7 when accepting the opinion on the severity of disability contained in the carrier’s permanency medical report.
Health care providers and CMS-1500 form submissions
Health care providers should always include their WCB Authorization Number on any CMS-1500 form they submit. This enables the Board to quickly locate them within our system and add them to the case. Providers (and all stakeholders) should also be sure any documentation submitted is legible as illegible documents cause delays.
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Proper completion of employer’s statement
Employers can prevent delays by ensuring the Employer’s Statement of Wage Earnings Preceding Date of Accident (Form C-240) is properly completed before submitting it to the Board. This includes checking that the number of days and gross amount paid are accurate and that totals for the 52-week period are properly computed. Employers cannot attach payroll documentation as a substitution for completing the form.
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Questions?
If you have any questions regarding the guidance in this Efficiency Enhancements, please write to outreach@wcb.ny.gov.
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