
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
Western Integrated Care can now process your medical bills electronically with WorkCompEDI/Data Dynamics.
Take Advantage of E-Billing benefits by signing up today.
Western Integrated Care, on behalf of Benchmark Administrators Payer ID is LV191.