Friendly and proactive services for workers’ compensation claims
File a Claim
Select a state:
Procedures, providers, and processes differ by state. Select the state where payroll is finalized on the map or choose from the drop-down below to see specific information.
Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Maryland, Michigan, Mississippi, Minnesota, Missouri, Montana, North Carolina, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, WisconsinUSL&H Claims
If you need to file a claim for a USL&H policy, please use the below forms:
Medical Billing
Medical Bills Can Be Mailed To:
P.O. Box 14365
Lexington, KY 40512
Process medical bills electronically by signing up today with E-Billing Benefits.
Western Integrated Care, on behalf of Benchmark Administrators Payer ID is LV191.
General Inquiries
800-362-5198