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Provider appeal

Introduction

The Department of Labor and Industries (L&I) makes decisions about a provider's eligibility to provide services to industrially-injured workers. If you disagree with a decision made by L&I, you should do one of the following:

  • File a protest and request for reconsideration with L&I

OR

  • File an appeal with the BIIA

Do not file a protest with L&I if you are filing an appeal with the BIIA.

Appeals

You must file an appeal within 20 days of the date you receive L&I's decision concerning demands for repayment or vocational audits.

You must file an appeal within 60 days of the date you receive L&I's decision to deny enrollment or remove or suspend you from the health care provider network.

Your appeal should include:

  • Your name and address.
  • Your provider number.
  • Date of L&I's decision, and a copy of the decision being appealed.
  • The reasons why you disagree with the decision.
  • County in which you would like proceedings to be held.

File in person, by mail, or by fax

If you disagree with a decision made by L&I on a claim or payment, use the Workers' compensation appeal form.

Please send your appeal to:

Board of Industrial Insurance Appeals
2430 Chandler Court SW
PO Box 42401
Olympia WA 98504-2401
FAX: 360-586-5611, outside Olympia: 855-586-5611