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Disclaimer

This information is for educational purposes only and does not constitute legal advice. Consult a qualified attorney or North Dakota Workforce Safety & Insurance for guidance.

Detailed Answer

If you’ve received medical treatment under a North Dakota workers’ compensation claim, you have the right to know whether the insurer paid your medical bills. Here’s how to confirm:

1. Gather Your Documents
   • Obtain itemized medical bills from each provider.
   • Ask the provider or insurer for an Explanation of Benefits (EOB) detailing charges, adjustments, and payments.
2. Review the EOB and Billing Statements
   • Compare the billed amount with the insurer’s payment and any patient responsibility.
   • Look for line items showing “workers’ compensation payment,” “adjustment,” or “denial.”
3. Access Online Claim Portal
   • North Dakota Workforce Safety & Insurance (WSI) offers an online portal at https://www.workforcesafety.com/ where you can review claim payments and status.
4. Contact the Insurer or Claims Administrator
   • Call the insurance adjuster or WSI claims representative and reference your claim number.
   • Request a detailed payment history for medical bills.
5. Follow Statutory Deadlines
   • Under NDCC §65-05-10 (https://www.legis.nd.gov/cencode/t65c05-10), the insurer must pay all undisputed medical bills within 30 days of receipt.
   • If payment is late, you may be entitled to interest.
6. Dispute Unpaid or Incorrect Amounts
   • If you believe payments weren’t applied correctly, file a written dispute with WSI or the insurer.
   • You may request a hearing before the North Dakota Office of Administrative Hearings.
7. Consult a Legal Professional
   • While this guide educates you, a workers’ compensation attorney can help you enforce payment rights under NDCC §65-05-06 (https://www.legis.nd.gov/cencode/t65c05-06) regarding insurer obligations for medical and hospital services.

Helpful Hints

• Keep a dedicated folder—digital or physical—for all medical and claim documents.
• Note dates you sent or received bills, EOBs, and correspondence.
• Highlight any discrepancies between billed and paid amounts.
• Record names and contact details of adjusters and medical billing staff.
• Set reminders for statutory payment deadlines under NDCC §65-05-10.
• Use the WSI online portal regularly to track status updates.
• Raise disputes in writing and keep copies for your records.