View the Worker’s Compensation Provider Profile

The Worker’s Compensation Provider Profile page shows the Worker’s Compensation services provided by your facility, along with the values and effective dates of Worker’s Compensation reimbursement calculations.

Note: None of the Pennsylvania Workers’ Compensation Facility Factors display on the Contract ManagerProvider Profile.

  1. To access the Medicaid Provider Profile page, select Go To > Government Payor Research > Worker’s Comp > Provider Profile. The Worker’s Compensation Provider Profile page opens.
  2. Select the state for the provider you want to review from the State list.
  3. Enter the provider number or National Provider Identification (NPI) number for the provider you want to review in the NPI or Provider Number field.
  4. Enter a date in the Effective Date field if you want to view provider profile information for an effective date other than today.
  5. Click Display Profile. The Medicaid Provider Profile information displays.

    Note: To clear the results and return to original Worker’s Compensation Provider Profile page, click Reset.

  6. Review your Worker’s Compensation Provider Profile information.

The following table describes each of the fields on the Medicaid Provider Profile page for Medi-Cal.

Field Description
Selection Criteria
State State for the selected provider number
NPI or Provider Number Provider’s tax ID number or ten-digit National Provider Identification (NPI) number required on all claims
Effective Date Date on which the selected profile went into effect
Inpatient Acute Hospital
Item Specific line item
Value Value of the line item
Effective Date Date on which the selected item went into effect
Outpatient Acute Hospital
Item Specific line item
Value Value of the line item
Effective Date Date on which the selected item went into effect