Podcast Overview of FORM 915 Medical Reimbursement

• Obtaining a Claimant Reimbursement Form
• Completing OWCP 915 for Medical Reimbursements
• Completing OWCP 915 for Pharmacy Reimbursements

Instructions for use of FORM OWCP-915 Medical Reimbursement
• The OWCP-915 is used to seek reimbursement for out-of-pocket medical expenses pertaining to the treatment of an accepted condition including (but
not limited to) medical treatments, prescription medications and medical
supplies.
• Please submit a separate reimbursement form for each provider where an out
of pocket expense was incurred.
• Please print clearly and legibly. Reference your OWCP Case ID on all
documentation.
• Maintain a copy of the completed OWCP-915 and supporting documentation
for your records
Form OWCP-915

This form is used to claim reimbursement for out-of-pocket medical expenses pertaining to the treatment of an accepted condition covered by the Federal Employees' Compensation Act, the Black Lung Benefits Act, and the Energy Employees Occupational Illness Compensation Program Act of 2000. Use this form to request reimbursement for medical expenses, transportation costs, loss of wages, and incidental expenses.

Form OWCP-915 can be used to claim reimbursement for:

• Incidental expenses

• Medical expenses

• Loss of wages

• Transportation costs
For more information on OWCP form 915 click on the podcast transcript

The podcast Dr. Taylor’s contact information is: https://fedcompconsultants@protonmail.com If you need a medical provider or assistance with an OWCP / DOL claim in Tampa, Pensacola Florida or Mobile Alabama you can make an appointment to see Dr. Taylor, or Dr. Sullivan at the clinic at FWC Medical Centers. To make a consultation with Dr. Taylor call the clinic at 813-215-4356 or go to our website at https://mrtherapycenter.com/or https://fedcompconsultants.com/

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