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FINANCE AND ADMINISTRATIVE AFFAIRS DIVISION
FACILITIES & PLANNING
Instructions to Employees in Case of Work-Related Injury
Policy #F&P 2003-20
I. PURPOSE
To describe the steps to follow in reporting work-related accidents
and or injuries.
II. OBJECTIVE
1. To ensure that prompt medical attention is provided in the case
of a work- related injury.
2. To provide an accurate recording and tracking system to analyze
and determine the cause of the accident and to supply proper
documentation to the University's third party insurance
administrator (TPA).
III. POLICY
1. All work-related injuries, regardless how minor, must be
reported to your supervisor and to the safety office.
2. If medical treatment is necessary, the university's panel of
physicians* must be utilized for the first 90 days of treatment to
ensure that treatment will be paid for by the TPA.
3. If the injury is determined to be work-related all reasonable,
necessary, and related medical and surgical services, orthopedic
appliances and prostheses, and training in their use will be paid
for.
4. If you do not treat with one of the panel providers, your
medical bills will not be paid during the first 90 days of
treatment.
5. After the 90-day period, should you still require treatment, you
may choose to go to another licensed physician. You must notify the
University's Human Resource Office in writing of this action within
five (5) days of your first visit to a non-designated health
provider. Failure to do so may relieve the University of liability
for services rendered prior to appropriate notice, if such services
are determined to be unreasonable or unnecessary.
6. Should one of the physicians listed above refer you to another
specialist, the TPA will pay the bill for the services
provided.
7. Should you be faced with a medical emergency, you may secure
assistance from a hospital or physician of your choice.
ALL MEDICAL BILLS PERTAINING TO A WORK-RELATED INJURY SHOULD BE
SUBMITTED TO THE UNIVERSITY'S THIRD PARTY ADMINISTATOR (TPA) WHICH
IS AS FOLLOWS:
Inservco Insurance Services, Inc.
Pittsburgh Claims Office
PO Box 1451
Harrisburg, PA 17105-1451
8. According to the Workers' Compensation Act, prescription drugs
are to be reimbursed at 110% of average wholesale price. You must
pay for the prescription and submit the bill to the TPA.
*see Workers' Compensation List of Medical Providers
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