- Contact a preferred urgent care facility by telephone prior to sending the injured worker.
- Inform the urgent care that you have an injured worker coming and that Benchmark Administrators is the claims administrator.
- Advise the urgent care you require a mandatory drug test per the insurance company.
- If a worker is seriously injured and needs immediate care or is transported by ambulance, the employer should have a co-worker or supervisor go with the injured worker to assist the injured worker with any insurance related information that the medical provider may require. If possible, the injured worker must return to your office or job site after seeing the doctor and give you the doctor’s signed return to work slip or disability slip.
- It is necessary that the employer fill out the required Form C3 and notify us immediately. Please forward the return to work/disability slip from the doctor to Benchmark Administrators as soon as possible.
Nevada
When an employee is injured on the job, proceed with the following:
Required State Forms
Nevada - First Report of InjuryAdditional Forms
Medical Provider Options:
Concentra Medical Center
5850 S. Polaris Avenue #100
Las Vegas, NV 89118
739-9957
The Center for Occupational Health
801 S. Rancho Drive #F1 & F2
Las Vegas, NV 89106
702-474-4454
Concentra Medical Center
1530 E. 6th Street
Reno, NV 89512
775-322-5757
Please Send the Form C-3, Medical Slip and Prescription Bills to:
Benchmark Administrators
P.O. Box 46350
Las Vegas, NV 89114
Telephone (702) 873-5115
Toll free (800) 362-5198
Fax (702) 876-5584
Medical Billing
Medical bills should be mailed to:
P.O. Box 14365
Lexington, KY 40512
Process medical bills electronically through the following ebilling options:
Western Integrated Care (WIC), on behalf of BMA payer ID is LV191 via ebilling provider Data Dimensions or J4466 or J4005 via ebilling provider JOPARI.
If providers are interested in enrollment or have questions about submitting via Data Dimensions or Jopari Solutions, please reach out to the following support resources:
Data Dimensions: www.datadimensions.com/support
Jopari Solutions: www.jopari.com/ebill-enrollment or www.jopari.com/contact-us
24-HOUR CLAIM REPORTING HOTLINE: 1-866-337-0891
Customer Service Representatives are on call 24 hours per day to assist you. Please have the injured worker's information available as well as the accident description.