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Understanding the claims process
As a health care provider in British Columbia, you play a vital role in the assessment and treatment of injured workers. It is in your best interest to understand how claims are handled and the role you play in the process.Reporting requirements
When a worker suffers a work-related injury or occupational disease, the worker, the employer, and the attending family physician are each required to submit a report to WorkSafeBC.
If the worker misses time from work, he or she is responsible for calling WorkSafeBC's Teleclaim Contact Centre. Otherwise, the worker should complete and submit a Worker's incident and injury report online or an Application for Compensation (PDF 79kb) to WorkSafeBC. See Section 53 of the Act.
The employer is responsible for submitting the Employer's Report of Injury or Occupational Disease (Form 7) (PDF 81kb). See Section 54 of the Act.
And the worker's family physician is responsible for completing and submitting the Physician's First Report (Form 8) (PDF 117kb).
These reports help WorkSafeBC staff to determine the appropriate entitlement for a worker, following a work-related injury or illness. For more information on how workers and employers participate in the claims process, and on how physicians treat workers with active claims, see the following:
- For workers and employers: How a claim is processed
- For health care providers: Physicians
Checking the status of a claim
As a health care provider who offers treatment to injured workers, you will, on occasion, need to check on the status of a claim. WorkSafeBC offers you two different methods:
Online
Check the status of a claim online.
By phone
Call the officer handling the claim or the Claims Call Centre.
Report fraud
If you suspect fraudulent activity relating to workers' compensation, find out how to report it.
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