Medical services should be billed to Puget Sound Workers’ Compensation Trust, 800 Oakesdale Avenue SW, Renton, WA, 98057. Billing should be submitted on the appropriate HCFA-1500 or UB-04 form, including all applicable chart notes or reports.
Approved medical services will be paid within 60 days of receipt of the complete medical claim form and required attachments.
Please submit all appropriate medical reports and/or chart notes to our office when billing for medical treatment.
Before payment may be made to providers a W-9 must be completed and on file.
You may fax medical treatment authorization requests to our office at (425) 917-7661, or call us at (425) 917-7667.