Upon receiving the report of industrial
injury (WC-1) form from your employer, our claims professionals
will contact your employer and medical provider and, in
many cases, will be in contact with you to gather information
about the incident, discuss the case status and provide
benefit information.
MEDICAL AUTHORIZATION
As part
of the information gathering process, we will
be seeking your assistance to review, sign
and return a Medical History and Authorization
form in order to more quickly acquire your
medical records so that we may expedite your
benefits.
(If you
have not already received this form from us,
you may download a copy here)
LOST TIME / RETURN
TO WORK
In the
event that you are losing time from work,
you will need to provide us with disability
certification from your attending physician.
Without this certification, we are unable
to determine whether you are even eligible
for wage loss benefits. However, once we
receive this, we will evaluate your eligibility
for temporary disability benefit payments
and work closely with you, your employer,
and medical provider to transition you into
an appropriate return to work setting as
soon as it is medically indicated, so as
to avoid any further disruption to your pre-injury
lifestyle.
NURSE CASE MANAGEMENT
In
some cases, you may also be contacted by
our designated Telephonic or Field Nurse
Case Manager. S/he is a Registered Nurse
(RN) who will be at your disposal to answer
any medical questions or concerns and will
be seeking to insure that you receive the
best possible medical care for your injury.
RX PROGRAM / MEDICATIONS
Fairmont
SpecialtySM has partnered with Medical Services
Company (MSC) to eliminate your need for
out-of-pocket expenses to pay for medications,
as well as the hassle and confusion which
can often occur when trying to fill your
prescription.
If you've
been given a prescription from your medical
provider, you may take it to any of the 53,000
pharmacies in MSC's nationwide network. For
a listing of the participating pharmacies
in Hawaii, click
here.
At the
initial visit to your pharmacy, simply ask
the pharmacist to contact your claims adjuster
at 537-5221 for authorization to contact
MSC. When the pharmacist then speaks with
MSC, they will be provided with an authorization
number and your medications will be dispensed.
Shortly
thereafter, MSC will provide you with a Retail
Prescription Drug Program Card, which you
may present at your pharmacy, along with
your prescription, for future fills so you
will avoid having to repeat the entire authorization
process.
In the
event that you require the same medications
over an extended period, arrangements can
be made for home delivery services. Please
contact your claims adjuster for more information.
Should
you need to contact MSC directly, you may
reach them at 800-848-1989, extension 1416.
