Medical Fee Schedule Changes, Effective April 1, 2015
Please click here for a notice regarding changes
to the Workers' Compensation Medical Fee Schedule, effective April 1, 2015. The notice
links to Frequently Asked Questions that provide information and guidance regarding the
changes to the Medical Fee Schedule.
Rule 1001 Medical Practice Guidelines and Peer Reviewer Profiles
The North Carolina Industrial Commission offers a secure FTP site (ftp://126.96.36.199/), so that insurance companies and other entities may upload Rule 1001 Medical Practice Guidelines, Rule 1001 Peer Reviewer Profiles, and related documents and correspondence for the Commission to view. Click here for complete instructions on how to use this FTP site.
For contact information, please visit the
Carriers page on this website.
Fraud and Compliance Unit Steps Up Investigations
Please click here to view the news release
regarding the Industrial Commission’s fraud and compliance enforcement initiatives.
New Deputy Commissioner Appointed
Chairman Andrew T. Heath announced today that he has appointed David M. Hullender to serve as a deputy commissioner. Hullender is replacing Stephen T. Gheen. Gheen left the Industrial Commission at the end of February to accept a position with the Durham County District Attorney’s Office. Hullender will begin working with the Industrial Commission on April 20, 2015, giving him time to wind down his practice.
Hullender is currently in private practice with the firm of David M. Hullender, P.A. in
Kings Mountain, North Carolina. Prior to starting his own firm, Hullender was an associate with
George B. Thomasson, P.A. from 1990 until 2001. Hullender serves on the North Carolina
Indigent Defense Services Commission and is the chairman of the Kings Mountain ABC Board. He is a
graduate of the University of North Carolina, North Carolina Central University Law School,
magna cum laude, and earned an LL.M in Taxation from the University of Florida School of
Chairman Heath’s Law Clerk Is Now Thomas Perlungher
Nina Roque, Chairman Heath’s Law Clerk, has accepted another position and will no longer be with the Industrial Commission, effective March 1, 2015. Thomas Perlungher will be serving as the Chairman’s Law Clerk. Please send all motions, correspondence, or updates for Chairman Heath to firstname.lastname@example.org.
Thomas Perlungher has served as Law Clerk to Commissioner Danny Lee McDonald since 2010.
Before joining the Industrial Commission, he was a Hearing Officer at the Division of Employment
Security and from 2004 to 2008, Perlungher served as an Assistant District Attorney in North
Carolina’s 8th District where he prosecuted cases in Wayne, Lenoir, and Greene counties. Prior
to his work as an ADA in North Carolina, Perlungher practiced Real Estate law in Massachusetts
from 2002 to 2004. Perlungher is a Phi Beta Kappa graduate of the University of Vermont and
earned his J.D. from Wake Forest University in 2002.
Revised Industrial Commission Medical Fee Schedule Rules
Please click here to view
the news release regarding approval of new Medical Fee Schedule rules.
N.C. Industrial Commission Fee Schedule
Click here to view the new North Carolina Industrial Commission
Fee Schedule, effective November 1, 2014.
Deputy Commissioner Appointments
here to read the press release regarding the
appointment of seven deputy commissioners.
Provisional Form 25PR and Preauthorization Review
Rule 04 NCAC 10A .1001,
Preauthorization for Surgery and Inpatient Treatment, became effective on November 1, 2014. This
rule sets out the procedures to be followed by insurers and health care providers regarding
preauthorization of surgery or inpatient treatment. To comply with
Rule 04 NCAC 10A .1001(k),
health care providers may use the provisional Industrial Commission
Request for Preauthorization of Medical Treatment. The Commission will begin rulemaking
procedures for this form in the near future.
2015 Max Comp Rate
Please click here for information
regarding the maximum weekly benefit for 2015.
New Industrial Commission Rules Effective November 1, 2014
Please click here to view all Industrial Commission rules, including the new rules effective November 1, 2014. You may also access the rules via "Attorneys" and "Links" on the Industrial Commission homepage. The new Industrial Commission fee rules are Rules 04 NCAC 10E .0202 and 04 NCAC 10E .0203. The increased fees are as follows:
Mediator’s Report: $200
Form 21/26/26A: $300
CSA (“Clinchers”): $400
Mandatory Rehabilitation Professionals Training
The comprehensive course entitled Workers' Compensation Case Management in NC: A Basic Primer for Medical and Vocational Case Managers will be offered on Wednesday, December 10, 2014 at the Auditorium of the Archives and History/State Library Building, 109 East Jones Street, Raleigh, NC from 8:00 a.m. until 5:00 p.m. The course will be available via webinar. This course meets the N.C. Industrial Commission’s mandatory requirement for Rehabilitation Professionals pursuant to 04 NCAC 10C .0105 (e) (2) of the Commission’s Rules for Utilization of Rehabilitation Professionals in Worker’s Compensation Claims. For class availability and registration, click here. If you have questions, contact Karen Smith at 919-807-2618 or via e-mail email@example.com.
Mandated two-hour refresher courses, pursuant to
04 NCAC 10C .0105 (f)
of the N.C. Industrial Commission’s Rules for Utilization of Rehabilitation Professionals
in Worker’s Compensation Claims will begin in late 2015.
Important Announcement Regarding Form 24 Submission
As of November 1, 2014, there will no longer be a fee for the processing of a Form 24 Application. In addition, as of November 1, 2014, Rule 04 NCAC 10A .0404 requires submission of Form 24 Applications to the Commission via the Electronic Document Fee Portal (EDFP). See registration information for EDFP at http://www.ic.nc.gov/EDFPregistrationInstructions.pdf.
When submitting a Form 24 Application via EDFP, it will appear as if there is still a fee of $175.
Please click "Pay Later" and the fee will be deleted by the Commission upon processing. No charges or
delays will be incurred. If you have any questions about this announcement, please contact
Meredith Henderson, Executive Secretary, at 919-807-2575.
Industrial Commission Rules Update -- New rules effective November 1, 2014
On October 16, 2014, the Rules Review Commission approved ten rules adopted by the Industrial Commission pursuant to Session Law 2014-77. Click here for the ten approved rules. No letters of objection were received. Therefore, these ten rules will go into effect on November 1, 2014.
In addition, all new workers' compensation rules and vocational rehabilitation rules adopted and approved in 2012 and 2014 that have been held in abeyance will go into effect on November 1, 2014.
Please click here to see the mark-up versions
of the new rules that will go into effect on November 1, 2014. We are in the process of updating our
rules page to reflect all rules currently in effect and the rules that will change on November 1, 2014.
New Procedure for Contempt
Effective immediately, the North Carolina Industrial Commission has created a dedicated e-mail
inbox for Motions to Show Cause and related correspondence and filings:
firstname.lastname@example.org. Pursuant to N.C. Gen. Stat. § 5A-23(a1),
all motions must include a sworn statement or affidavit by the aggrieved party setting
forth the reasons why the alleged contemnor should be held in civil contempt. Upon review of the
Motion and any response filed by the respondent, an Order to Show Cause may issue, and the matter
will calendared on the next available Contempt Hearing Docket.
Industrial Commission Rules Update
Pursuant to the requirements set out in Senate Bill 794 (Session Law 2014-77), on September 25, 2014, the Industrial Commission submitted 10 adopted permanent rules for review by the Office of Administrative Hearings. Click here to view the adopted rules. It is anticipated that these rules will be considered by the Rules Review Commission at its October 16, 2014 meeting.
The Commission will continue to provide updates regarding rulemaking on this page of the Industrial
Commission's website. Should you have any questions, please call Meredith Henderson at (919) 807-2575
or Ryan Boyce at (919) 807-2582.
N.C. Industrial Commission New Fraud Alerting Tool Results
in Criminal Charges Against Noninsured Employers
A new fraud alerting tool, which the N.C. Industrial Commission launched on April 14, 2014,
has resulted in criminal charges against five noninsured Guilford County employers. For details
about how the Commission used the Noncompliant Employer Targeting System (NETS), click
Industrial Commission Rules Update
Pursuant to the requirements set out in Senate Bill 794 (Session Law 2014-77), the Industrial Commission submitted 10 proposed permanent rules to the Office of Administrative Hearings for publication. The proposed rules were published on the Office of Administrative Hearings website on August 14, 2014. To access the proposed rules, click here.
The Commission will hold a public hearing on the proposed rules on September 8, 2014 at 10:00 a.m. The public hearing will be held in Room 2173 of the Dobbs Building, 430 North Salisbury Street, Raleigh, NC 27603. The public may also send written comments regarding the proposed rules to email@example.com from August 20, 2014 to September 15, 2014.
The Commission will continue to provide updates regarding rulemaking on this page of the
Industrial Commission's website. Should you have any questions, please call Meredith Henderson at
(919) 807-2575 or Sumit Gupta at (919) 807-2684.
Form 19's Must Be Submitted via EDI
On June 1, 2014, it became mandatory that all first reports of injury (FROI) for injuries
occurring after April 1, 1997 be filed electronically via EDI unless the claim qualifies for
one of two exceptions. The only exceptions to electronic filing of FROI’s are claims (1) in
which a Form 18 was previously filed and a six-character alphanumeric number has already been
assigned, or (2) for an occupational disease in which a Form 18B has already been filed. The
North Carolina Industrial Commission Claims Administration will begin actively monitoring
paper Form 19’s which arrive on or after August 1, 2014. If any paper Form 19 is received on
or after August 1, 2014 and it does not meet one of the two exceptions noted above, the form
will be returned without processing and it must be resubmitted as a FROI via EDI. If you have
any questions, please contact the North Carolina Industrial Commission at
firstname.lastname@example.org or you may call Claims Administration at
New Medical Motion Procedures
Senate Bill 794 (Session Law 2014-77), which was signed by Governor Pat McCrory on July 22, 2014,
made significant changes to N.C. Gen. Stat. § 97-25, revising the procedures for the handling of
disputes regarding medical treatment in accepted workers’ compensation cases. These new
procedures are effective as of July 22, 2014. Please click
here to review
Senate Bill 794 (Session Law 2014-77). Please click
for general guidelines for the filing of medical motions and related appeals under the revised
Industrial Commission Rules Update
In January 2014, the Industrial Commission submitted 35 proposed permanent rules to the N.C. Office of Administrative Hearings for appropriate publication. The Rules Review Commission approved all 35 rules during its March and April meetings. However, eight of the rules received ten or more letters of objection and were subjected to legislative review.
On July 22nd, Senate Bill 794 was signed into law by Governor Pat McCrory. Senate Bill 794 (Session Law 2014-77) disapproved the eight rules mentioned above, as well as two additional rules made by Industrial Commission in 2012 and 2014. This law provides guidance on how to revise the ten disapproved rules and requires that the new rules be re-adopted through the temporary rulemaking process in time for potential legislative review during the General Assembly’s 2015 Regular Session.
Senate Bill 794 does not affect the rules that became effective July 1, 2014. To access all rules that are currently in effect, click here .
The Industrial Commission will continue to provide updates on the status of its rules on this page of
the Industrial Commission's website. Should you have any additional questions, please call Meredith Henderson
at (919) 807-2575 or Sumit Gupta at (919) 807-2684.
19th Annual N.C. Workers' Compensation Educational Conference
Wednesday, October 8 – Friday, October 10, 2014
The Industrial Commission will hold its 19th Annual North Carolina Workers’ Compensation Educational Conference
October 8-10, 2014 at the Raleigh Convention Center. Presenters
include an array of nationally recognized experts speaking on cutting-edge topics, a North Carolina Supreme Court
Justice, representatives of the Industrial Commission, and a number of highly experienced workers’ compensation
attorneys. The conference provides a valuable opportunity for professionals to share information on current issues
impacting the workers’ compensation arena. Application will be made for continuing education credits for attorneys,
paralegals, adjustors and rehabilitation providers. Please click here to view the
conference brochure, which includes the
conference agenda and registration information. Biographies of this year’s presenters are available
here. For more information on the conference, please
contact Jeanne Bush or Eric Oxfeld at the International Workers’ Compensation Foundation office by telephone at
(386) 677-0041, fax at (386) 677-0155, or e-mail at IWCF@bellsouth.net.
New Commissioner Charlton Allen Is Sworn In
After confirmation by the General Assembly, Charlton L. Allen was sworn in
on July 1, 2014 to serve on the North Carolina Industrial Commission. Click
to view a press release regarding this nomination.
Industrial Commission Announces Policies Designed to Promote Swifter Decisions and Revised Uniform Pre-Trial Order and Subpoena Form
The Industrial Commission will be implementing changes designed to responsibly lessen the
time required to render decisions in contested cases. Specifically, for all cases in which
requests for hearing are filed after July 1, 2014, the Commission will be reducing the
mediation timeframe from 6 months to 5 months. Effective July 1, 2014 (regardless of when the
request for hearing was filed), the Commission will be utilizing a revised Uniform Pre-Trial
Order, a revised Subpoena Form, and will also be implementing two internal policies. The first
policy will eliminate unnecessary continuances, and the second policy will require Deputy
Commissioners to enter Opinions within 90 days of the close of the hearing record, rather than
180 days as allowed by N.C. Gen. Stat. § 97-84. Links to the revised mediation timeframe,
internal continuance policy, and a copy of the revised Uniform Pre-Trial Order (including the
revised Subpoena Form) can be found here:
Continuance Policy, and
Uniform Pre-Trial Order.
Industrial Commission Rules Update
Click here to access the new and revised Industrial Commission rules that will be effective July 1, 2014. The new and revised rules are in the following Subchapters:
- 10B (Tort Claims Rules)
- 10D (Managed Care Organizations)
- 10E (Administrative Rules)
- 10F (Electronic Billing Rules)
- 10G (Rules for Mediated Settlement and Neutral Evaluation Conferences)
- 10H (Rules Relating to the Law Enforcement Officers’, Firemen’s, Rescue Squad Workers’ and Civil Air Patrol Members’ Death Benefits Act)
- 10I (Childhood Vaccine-Related Injury Rules)
- 10J (Fees for Medical Compensation)
- 10L (Industrial Commission Forms)
There are eight permanent rules adopted by the Industrial Commission pursuant to Session Law 2013-294 that are subject to legislative review pursuant to N.C. Gen. Stat. §150B-21.3(b2). Click here to view the permanent rules subject to legislative review.
The Industrial Commission will continue to provide updates on the status of its rules on this page
of the Industrial Commission's website. Should you have any additional questions, please call
Meredith Henderson at (919) 807-2575.
2014 CPT Codes Added to and Deleted from the NCIC Medical Fee Schedule
N.C. Gen. Stat. § 97-26(a),
the Industrial Commission has added new fees to the
Medical Fee Schedule for 2014 current procedural terminology (CPT) codes released by the
American Medical Association. The Industrial Commission also has deleted certain CPT codes.
These changes are effective for January 1, 2014. Click
here for the lists of added and deleted codes.
Industrial Commission Adopts New CMS-1500 for Medical Bills
The National Uniform Claim Committee (NUCC) revised the CMS-1500 form in 2012. CMS discontinued
acceptance of the CMS-1500 (08-05), effective April 1, 2014, and adopted the new
Effective April 1, 2014, the Industrial Commission requires that providers who submit paper medical
bills to carriers and third-party administrators use the CMS-1500 (02-12).
How to Request an Audio Recording of a Hearing
Anyone wishing to request an audio recording of a hearing should send an e-mail to the new dedicated e-mail address: email@example.com. Your request will be processed and you will receive a response outlining the technical requirements to get the audio recording you requested.
The cost of each audio recording is $25.00. For hearings taking place over the course of more than one day, there will be a separate audio recording, and a separate $25.00 charge for each day. If you have any questions about this, please contact us at firstname.lastname@example.org or by phone at 919-807-2504. Requests or inquiries by mail should be addressed to:
NC Industrial Commission
4336 Mail Service Center
Raleigh, NC 27699-4336
Thank you for your cooperation!
Governor Pat McCrory has nominated Charlton L. Allen to serve as a Commissioner on the North
Carolina Industrial Commission. Click
to view a press release regarding this nomination.
Electronic Medical Billing and Payment
Pursuant to N.C. Gen. Stat. § 97-26(g1), the Industrial Commission was directed to adopt rules requiring electronic medical billing and payment processes. The Industrial Commission subsequently adopted Electronic Billing Rules 101-109 in 2012. These rules were then held in abeyance in conjunction with other rule making efforts and to allow the Commission to develop an implementation guide. The Electronic Billing and Payment Companion Guide is now in final form and ready for publication. Click here for access to the guide. This guide can also be accessed on the Commission’s webpages for Carriers and for Medical Providers.
The date for implementation of electronic medical billing in the adopted rules referenced above is
March 1, 2014. The Commission received and considered feedback and multiple requests for extensions of
the March 1, 2014 deadline from employers, carriers, third-party administrators, and medical billing
companies. In order to allow these stakeholders additional time for preparation, the Commission will
not require compliance with the Electronic Billing Rules until July 1, 2014, with regard to
electronic medical billing processes. The rules and portions of the companion guide that govern and
require electronic medical payment processes will not be mandatory until January 1, 2015.
No additional extensions will be granted.
Medical Bill Reporting Electronic Data Interchange (EDI)
In response to requests from employers, carriers, and third-party administrators, the Industrial Commission
will delay the mandatory implementation date for Medical Bill Reporting via EDI from March 1, 2014, to July 1,
2014. This purpose of this postponement is to allow these stakeholders additional time for preparation and
necessary programming. No additional extensions will be granted.
Important Announcement Regarding Rules and Forms for Claims for the Eugenics Asexualization and Sterilization Program
The Industrial Commission has adopted Temporary Rules governing claims for compensation from the Eugenics Asexualization and Sterilization Program. The Temporary Rules were approved by the North Carolina Office of Administrative Hearings, Rules Review Commission. The Temporary Rules are effective as of December 3, 2013. Click here to view the temporary rules. Click here for links to the related claim and appeal forms at the top of the right-hand column of the Forms page.
Session Law 2013-360, which provided for compensation to victims of eugenics, asexualization, and sterilization under certain circumstances, became effective on July 26, 2013. To be eligible for compensation, an individual must be alive on June 30, 2013, and have been involuntarily asexualized or sterilized under the authority of the Eugenics Board of North Carolina pursuant to Chapter 224 of the Public Laws of 1933 or Chapter 221 of the Public Laws of 1937.
A claim for compensation must be filed on or before June 30, 2014. The claim must be filed directly with the Office of Justice for Sterilization Victims at 1330 Mail Service Center, Raleigh, NC 27699-1330. Click here for the claim form. Following the submission of a claim to the Office of Justice for Sterilization Victims, the claim will be reviewed and adjudicated by the Industrial Commission. Compensation will not be paid until June 30, 2015, pursuant to Session Law 2013-360.
Pursuant to Session
Law 2013-360, the Office of Justice for Sterilization Victims shall assist an individual who may
be a qualified recipient. The hotline telephone number for the Office of Justice for Sterilization
Victims is (877) 550-6013.
Important Announcement Regarding EDI FROI/SROI Reporting
Effective immediately, the North Carolina Industrial Commission is suspending the acceptance of Claims EDI
transactions for SROI (Subsequent Report of Injury) reports. The Commission will continue to accept and process
Claims EDI transactions for FROI (First Report of Injury) reports with the exception of the FROI 04 Denial.
In order to maintain the integrity and efficiency of the administration and adjudication of workers' compensation claims,
the Commission will be pursuing an IRR (Issue Resolution Request) with the IAIABC (International Association of Industrial
Accident Boards and Commissions). The goal of the IRR would be to allow carriers and employers to report specific body
parts for which liability and compensability are accepted and/or denied. The Commission will provide updates on the
progress of the IRR and future plans for SROI reports as they become available. Additional information about these changes
is available at www.ncicedi.info.
Revised Form 23 Application to Reinstate Payment of Disability Compensation
Please see the revised Form 23 Application
to Reinstate Payment of Disability Compensation, which contains minor revisions reflecting the recent
changes to N.C. Gen. Stat. § 97-18(k)
(see Session Law 2013-294,
Senate Bill 174, Page 1, Section 3). Effective immediately, only the revised Form 23 should be
used. Please update your system, so that the old Form 23 is no longer used.
Eugenics Asexualization and Sterilization Compensation Program
Session Law 2013-360, which provided for compensation to victims of eugenics, asexualization, and sterilization under certain circumstances, became effective on July 26, 2013. Pursuant to Session Law 2013-360, the Office of Justice for Sterilization Victims shall assist an individual who may be a qualified recipient. The hotline telephone number for the Office of Justice for Sterilization Victims is (877) 550-6013.
Under Session Law 2013-360, the Industrial Commission is responsible for administering hearings to determine who is eligible for compensation. The Industrial Commission is collaborating with the North Carolina Office of Justice for Sterilization Victims to ensure proper administration of Session Law 2013-360.
To be eligible for compensation, an individual must be alive on June 30, 2013 and have been involuntarily asexualized or sterilized under the authority of the Eugenics Board of North Carolina pursuant to Chapter 224 of the Public Laws of 1933 or Chapter 221 of the Public Laws of 1937.
An individual must submit a claim for compensation on or before June 30, 2014. The claim should be submitted in writing on the claim form prescribed by the Industrial Commission directly to the Office of Justice for Sterilization Victims at 1330 Mail Service Center, Raleigh, NC 27699-1330
A claim may be submitted on behalf of a claimant by a person lawfully authorized to act on the individual's or the individual's estate's behalf. Click here for the claim form.
Compensation will not be paid until June 30, 2015, pursuant to Session Law 2013-360.
The Industrial Commission has adopted Temporary Rules that have been submitted to the North Carolina Office of Administrative Hearings, Rules Division. Click here for the Adopted Temporary Rules. A hearing will be held on Thursday, November 21, 2013, at 10:00 a.m. in the Rules Review Commission’s hearing room at 1711 New Hope Church Road, Raleigh, NC.
We will provide updates throughout the rule making process on the “Latest News” tab of the Industrial Commission's
website (www.ic.nc.gov). Should you have any additional questions, please call the
Industrial Commission's Information Specialists at (800) 688-8349 or (919) 807-2501.
Update Regarding NCIC Rules
Pursuant to Session Law 2013-294, known as Senate Bill 174 to Disapprove Industrial Commission Rules, the Industrial Commission will be reviewing the disapproved rules and complying with Section 11 of the bill. In the interim, the Industrial Commission will continue to operate under the rules as set forth on our website:
In light of Section 4 of Session Law 2013-294, the Industrial Commission will be taking the necessary steps to review the new statutory process and the existing Rule 609A Medical Motions and Emergency Medical Motions. If the existing Rule 609A conflicts with Section 4 of Session Law 2013-294, the Industrial Commission will provide notification of any process to repeal Rule 609A.
On January 1, 2013, two new rules became effective and have been updated on our website: 04
NCAC 10A .0301 Proof of Insurance Coverage
and 04 NCAC 10J .0101 Fees for Medical Compensation.
No additional changes have been made to the Industrial Commission's rules at this time.
Update Regarding Medical Fee Schedule
On January 1, 2013, the Industrial Commission enacted 04 NCAC 10J .0101 Fees for Medical Compensation. This new rule revised the payment structure for medical treatment under the Commission's Medical Fee Schedule and Hospital Fee Schedule. These adjustments were made on staggered dates: (1) January 1, 2013; (2) February 1, 2013; and (3) April 1, 2013. The Industrial Commission has provided three notices regarding these changes and encourages all insurance carriers, self-insured groups and administrators, and managed care organizations to make timely and accurate payment for medical services in accordance with the rule and guidance provided in the following notices:
- January 16, 2013 announcement for January 1, 2013 changes: http://www.ic.nc.gov/011613notice.pdf
- January 30, 2013 announcement for February 1, 2013 changes: http://www.ic.nc.gov/013013notice.pdf
- March 22, 2013 announcement for April 1, 2013 changes:
Deadline for Mandatory Rehabilitation Professionals Training Was July 1, 2013
The N.C. Industrial Commission has adopted a mandatory requirement for Rehabilitation
Professionals. Effective July 1, 2011, every Rehabilitation Professional providing
rehabilitation services shall be required to complete the comprehensive course entitled Workers'
Compensation Case Management in NC: A Basic Primer for Medical and Vocational Case Managers, in
order to be recognized as "Qualified" under Section IV of the
NCIC Rules for Rehabilitation
Professionals. The deadline for completion by RPs currently practicing rehabilitation has
passed (7/1/2013), and the NCIC Registry for Workers’ Compensation Rehabilitation Professionals
on this website has been updated accordingly. Click here to read the
March 17, 2011 Minutes for more details.
For class availability and registration, click
here. If you have
questions, contact Karen Smith at 919-807-2618 or via e-mail
Expedited, Emergency, and Other Medical Motions to Be Filed with Office of Chief Deputy Commissioner
Senate Bill 174 became law on July 18, 2013, when it was signed by Governor Pat McCrory. Effective August 1, 2013, in compliance with N.C. Gen. Stat. § 97-25(f) (see Session Law 2013-294, Senate Bill 174, Page 2, Section 4), expedited, emergency, and other medical motions shall be filed with the Office of the Chief Deputy Commissioner at email@example.com.
Full Commission Calendars to Be Distributed via E-Mail
The North Carolina Industrial Commission announces that, beginning with hearings for the month of September, 2013, Full Commission hearing
calendars will be transmitted only by electronic mail to legal representatives of parties in cases scheduled to be heard by the Full Commission.
Pro se parties will continue to receive a paper copy of the calendar through the U.S. Mail.
Payment of Invoices
The Industrial Commission is implementing revised invoicing procedures with respect to the
assessment of hearing costs. If a party is assessed hearing costs in an Order or Opinion &
Award, the assessed party will be invoiced.
Deadline for Mandatory Rehabilitation Professionals Training is July 1, 2013
The N.C. Industrial Commission has a mandatory requirement for Rehabilitation Professionals. Effective
July 1, 2011, every Rehabilitation Professional providing rehabilitation services is required to complete
the comprehensive course entitled Workers' Compensation Case Management in NC: A Basic Primer for Medical
and Vocational Case Managers, in order to be recognized as "Qualified" under Section IV of the
NCIC Rules for Rehabilitation Professionals.
For information on class availability through the Carolinas Chapter of the International Association of
Rehabilitation Professionals (IARP),please contact Jane Rouse or Jodie Nolf with Southern Rehab Network
at 919-781-3149 or 800-772-8914; or send an e-mail to
New Commissioner Confirmed for the Industrial Commission
Andrew T. Heath has been confirmed by the General Assembly to serve on the Industrial Commission.
to view the press release making the appointment by Governor Pat McCrory.
Insurance Coverage Search System
Pursuant to Section 58-36-17 of the North Carolina General Statutes (see Section 1.(b) of Session Law 2012-135, as modified by Section 65.5 of Session Law 2012-194; modified by Section 1. of Session Law 2013-20), please find data here for workers' compensation insurance policy information that includes the employer name and address, carrier name and address; policy number; policy effective dates; policy cancellation dates; and policy reinstatement dates.
DISCLAIMER: Coverage information shown on this database is not proof of, evidence or
verification of workers' compensation insurance. The coverage information shown on this website may not
reflect changes (cancellations or reinstatements) that have not yet been reported to the Industrial Commission
or the North Carolina Rate Bureau or that have been reported within the last thirty (30) days. Information
obtained from this website should be verified with the employer and/or the insurer. An insurer, employer,
injured worker, licensed health care provider or attorney involved in a pending workers' compensation claim
who is unable to locate coverage information using this database may contact the Industrial Commission directly
to obtain more information.
Notice to Physicians and Carriers Regarding Prepayment of Negotiated Rates for IMEs and Second Opinions
The Workers' Compensation Act does not include, and the Commission has not established, a specific prohibition
on prepayment of negotiated rates for independent medical examinations (IMEs) and second opinion examinations.
Efforts by the Commission to establish such procedures are subject to the rulemaking requirements contained in
Chapter 150B of the General Statutes. Accordingly, parties may continue the practice of prepayment of negotiated
rates for IMEs and second opinions.
Updated Hospital Fee Schedule, Effective April 1, 2013
Pursuant to 04 NCAC 10J .0101, see this notice
regarding recent revisions to the Fees for Medical Compensation.
Industrial Commission Audit Complete
The North Carolina Office of the State Auditor has released the Performance Audit for the Workers' Compensation Program,
which includes the official response from the Commission. Click here to review the audit
Video Presentation: Employers' Workers' Compensation Obligations
A video presentation on employers' obligations with respect to workers' compensation insurance
is now available on the Employers page of the Commission's
Updated Hospital Fee Schedule, Effective February 1, 2013
Pursuant to 04 NCAC 10J .0101, see this notice
regarding recent revisions to the Fees for Medical Compensation.
Updated Medical Fee Schedule, Effective January 1, 2013
Pursuant to 04 NCAC 10J .0101, see this notice
regarding recent revisions to the Fees for Medical Compensation.
Update Regarding NCIC Rules
The Industrial Commission announces that the adopted rules have been approved by the Rules Review Commission. On January 1, 2013, two new rules became effective, 04 NCAC 10A .0301 Proof of Insurance Coverage and 04 NCAC 10J .0101 Fees for Medical Compensation.
The Medical Fee Schedule has been updated to reflect the changes in accordance with 04 NCAC 10J .0101(c). Click here for the updated Medical Fee Schedule.
Pursuant to G.S. §150B-21.3(b2), a portion of the approved rules are subject to legislative
review. All remaining approved rules have a delayed effective date, to be determined
in accordance with the legislative review. Click here for the
rules subjected to legislative
review and the approved rules with a delayed
An enhanced version of the Commission's Electronic Document and Fee Portal (EDFP) is now available on our website. Using this enhanced system, you can now file Compromise Settlement Agreements, Form 21's, Form 24's, Form 26's and Form 26A's; you can make payment for the fees for these filings immediately or within 10 days. The system will generate an online invoice (and email a copy of the invoice), which can be used by you or a third party to make payment using the online payment system available through the NC Industrial Commission's website. As long as payment of the fee in full is made within 10 days, the documents filed will be processed.
To upload documents to the N.C. Industrial Commission via EDFP, parties must first obtain a North Carolina ID (NCID) and then register with the Industrial Commission.
For more information, please click here for the training videos
and click here for the EDFP registration instructions.
To sign up for or file documents using EDFP, click here.
To pay an invoice, click here.
NCIC Fraud Section Participates in Investigation of
PEO That Results in Federal Fraud Indictments
The Industrial Commission's Fraud Section Criminal Investigation Unit participated in an
investigation of a professional employer organization (PEO) in North Carolina with the
Internal Revenue Service and Federal Bureau of Investigation. The investigation resulted
in multiple federal fraud indictments against Arthur S. Weiss. READ MORE at this
NCIC Adopts CPT Codes Released by the American Medical Association
The N.C. Industrial Commission has adopted current
procedural terminology (CPT) codes pursuant to the new 2012 release by the American Medical Association,
as well as the deletion of certain codes.
Notification of Uninsured Employer Penalty Hearing Docket
N.C. Gen. Stat. § 97-93(a) requires
employers in the State of North Carolina to carry insurance or prove financial ability to pay for
benefits available under the Workers' Compensation Act. The Industrial Commission reviews claims
filed by injured workers to determine the employer's insurance status. If the employer is determined
to be uninsured, the employer will receive this
letter and be placed on a hearing docket.
NCIC Adopts a New Medical Provider Fee Dispute Resolution Procedure
Electronic Document and Fee Portal [EDFP] To Become MANDATORY
On October 31, 2011, the Industrial Commission implemented an Electronic Document and Fee Portal [EDFP] which allows users to simultaneously upload and electronically pay for the submission of Compromise Settlement Agreements and Forms 21, 24, 26 and 26A. This filing process will become MANDATORY in the future for all identified documents. Plans are to eliminate all filing processes other than EDFP for these documents.
Compromise Settlement Agreements and Forms 21, 24, 26,
and 26A Will Be Payable Online, Effective October 31, 2011
Effective October 31, 2011, Compromise Settlement Agreements (Clinchers), and Forms 21, 24, 26, and 26A may be uploaded and electronically paid through a new Industrial Commission Electronic Document and Fee Portal (web portal).
This new feature will require document submitters to first obtain an NCID (North Carolina ID). Obtaining the NCID can be done via https://ccms.ic.nc.gov/PRODNcicAppCheck/ by clicking on “Don't Have an NCID? Click Here.” Prevent delays in uploading documents by applying today for an NCID.
After obtaining your NCID, on
click “Request Authorization to Access NCIC Applications.” On the Application Security Request Page, enter
your NCID and click Submit. You will receive an e-mail notification after the appropriate
security permissions have been assigned.
NCIC Invoices Are Payable Online
Effective September 30, 2011, the North Carolina Industrial Commission's invoices
are payable online. Electronic checks and credit cards (MasterCard and VISA) will be
accepted. The payor must have the Invoice Number and I.C. File Number available, and
can access the Pay Online option from the LINKS menu option on the Industrial
Commission Home Page (http://www.ic.nc.gov/).
NCIC Adopts CPT Codes for Billing for Physician Interaction with Case Managers
The N.C. Industrial Commission has adopted CPT Codes for billing for physician interaction with
case managers. Click here to read the
June 23, 2011 Minutes.
The Workers' Compensation Act Has Been Modified as of June 24, 2011
House Bill 709 was signed by Governor Beverly Perdue and became effective as law on June 24, 2011. See
House Bill 709
for changes to Chapter 97Workers' Compensation Act
Industrial Commission Adopts New Electronic Transcripts Policy
The N.C. Industrial Commission announces that effective July 21, 2011, only
electronic transcripts and exhibits will be forwarded to the legal representative
for parties appealing to the Full Commission. Pro se parties will continue
to receive a paper copy of the transcript through the U.S. Mail. The parties are
responsible for calculating the due dates of Briefs and Form 44s in accordance
with Rule 701(4) of the Workers' Compensation Rules of the N.C. Industrial
Commission, and Rule T305 of the Tort Claims Rules of the N.C. Industrial Commission.
NCIC Will Require Carriers and Providers to Adopt Electronic Medical Billing and Payment Processes
The North Carolina Industrial Commission will require carriers and providers to adopt electronic
medical billing and payment processes, and will promulgate rules for the implementation of this requirement.
Click here to read the June 14, 2011 Minutes.
Industrial Commission Adopts the 2011 CPT Codes for Its Medical Fee Schedule
Electronic Submission of Form 18
The North Carolina Industrial Commission now offers an online fillable version of the Employee's
Notice of Accident (Form 18), and
direct electronic submission of the completed form.
Visit the Forms page for more information.
Master List of Cases for Docketing
The Master List of workers' compensation cases identified for
docketing before the Deputy Commissioner Section is updated four times each month.
CLICK HERE for the latest update on the Dockets Page.
Older News Items and other links are Archived after 90 days. Clicking the link above will take you to the Archive page.
The N.C. Industrial Commission annual Bulletin is available, effective November 1, 2014.
Please CLICK HERE to view the Bulletin.