Same Certification. Different Approach.

Providers

Working with Spooner MAI: Provider Procedures


All employees of Spooner Medical Administrators’ customers will have identification cards for workers’ compensation coverage. The identification cards will specify the employer name and policy number, as well as contact information for Spooner Medical Administrators. Photocopy the cards for the patient’s file.

How to Submit Bills


You can send bills and supporting medical documentation by mail, fax of electronically. The BWC is responsible for payment of pharmacy bills. Spooner MAI as an MCO does not reimburse for outpatient medications prescribed to treat conditions related to an injured worker's claim.

Rules and Timeframe for Bill Payment Process


When Spooner MAI receives a bill, we provide clinical editing reviews before submitting it to the BWC. Once the bill is approved by the BWC, we will process it and mail a check to the billing provider. The table below shows the expected timeframe.

Frequently Asked Questions


Answers to common questions for providers, including: How are bills paid in the $15K Program? How to get BWC Certified? And how to check the Status of a Bill?

Provider Lookup


The Provider Lookup tool will allow you to search for care providers by state, county, and specialty.

Check a Bill Status


Login
© Spooner Inc.
Powered by Virteom