Board Rule 206. Reimbursement of Group Carrier or Other Healthcare Provider

(a)  Form WC-206, including supporting documentation, shall be submitted to the Board by the party seeking reimbursement during the pendency of the claim.  Copies shall also be sent by the party requesting reimbursement to all counsel and unrepresented parties at interest.

(b)  If a hearing request is pending when the Board receives a request for reimbursement and designation as a party at interest, the Board will provide the requesting party with notice of the hearing.

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Board Rule 61(b)(31). Form WC-206. Reimbursement Request of Group Health Insurance Carrier/Healthcare Provider

A group health insurance carrier or health care provider which requests reimbursement of medical expenses shall file this form during the pendency of a claim, and serve a copy on all counsel and unrepresented parties.
  • Form WC-206/Reimbursement Request of Group Health Insurance Carrier/Healthcare Provider
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Board Rule 61(b)(39). Form WC-244. Reimbursement Request of Group Insurance Carrier/Disability Benefits Provider

A group insurance carrier or disability benefits provider which requests reimbursement of disability benefits shall file this form during the pendency of a claim, and serve a copy on all counsel and unrepresented parties.

  • Form WC-244/Reimbursement Request of Group Insurance Carrier/Disability Benefits Provider

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O.C.G.A. § 34-9-206. Reimbursement for costs of medical treatment

(a)  Any party to a claim under this chapter, a group insurance company, or other health care provider who covers the costs of medical treatment for a person who subsequently files a claim under this chapter may give notice in writing to the board at any time during the pendency of the claim that such provider is or should be a party at interest as a result of payments made in the employee's behalf for medical treatment.

(b)  In cases where a group insurance company or other health care provider covers the costs of medical treatment for a person who subsequently files a claim and is entitled to benefits under this chapter, the board shall be authorized to order the employer or workers' compensation insurance carrier to repay the group insurance company or other health care provider the funds it has expended for the claimant's medical treatment, provided that such employer or its workers' compensation insurance carrier is liable under this chapter for such medical treatment and provided, further, that such other provider has become or should be a party at interest pursuant to the provisions of subsection (a) of this Code section.  The employer or its workers' compensation insurance carrier deemed liable for such medical treatment shall not be obligated to pay such sums directly to the employee unless, and only to the extent that, it is proven that the employee has paid for such medical treatment himself.

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O.C.G.A. § 34-9-244. Reimbursement of provider of disability benefits to person who subsequently files claim

(a)  Any party to a claim under this chapter, a group insurance company, or other disability benefits provider who provides disability benefits for a person who subsequently files a claim under this chapter may give notice in writing to the board at any time during the pendency of the claim that such provider is or should be a party at interest as a result of such disability benefits paid to the employer.

(b)  In cases where a group insurance company or other disability benefits provider pays disability benefits to a person pursuant to an employer paid plan who subsequently files a claim and is entitled to benefits under this chapter, the board shall be authorized to order the employer or its workers' compensation insurance carrier to repay the group insurance company or other disability benefits provider the funds it has expended for such disability benefits and take credit for that amount against income benefits due under this chapter, provided that:

(1)  Such employer or its workers' compensation insurance carrier is liable under this chapter for income benefits;

(2)  Such other provider has become or should be a party at interest pursuant to the provisions of subsection (a) of this Code section; and

(3)  The disability benefits paid are pursuant to a plan funded in whole or in part by the employer or workers' compensation carrier.

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