West Virginia: Workers' Compensation Claims Guide
**If you are enrolled in Productivity Edge, please report your claim through the Nurse Triage phone number.**
- Claim Reporting for Primary Lines - pdf
(Excludes Productivity Edge) - Claim Reporting for Construction - pdf
(Excludes Productivity Edge) - Report Claims Online - (Excludes Productivity Edge)
pdf | Website - USL&H - pdf
Productivity Edge - If you are enrolled in Productivity Edge, please report your claim through the Nurse Triage phone number.
You may access current state forms, posters, required Notices and other documentation here by selecting your claim handling organization, UW company name and then selecting the State.
You may access current state forms, posters, required Notices and other documentation here by selecting your claim handling organization, UW company name and then selecting the State.
- Employers' Report of Occupational Injury or Disease - pdf
- AIG Coventry Managed Health Care Plan Employee's Manual - pdf
- AIG Coventry Managed Health Care Plan Employer's Manual - pdf
- AIG Coventry Managed Health Care Plan Wall Posting - pdf
- Employees' and Physicians' Report of Occupational Injury or Disease - doc (OIC-WC-1 form)
- IntelliRisk®: Basic Claim Information / Loss Runs - pdf | Website
- IntelliRisk® Advanced: Risk Management Information Services / Advanced Claim Analysis & Reporting - pdf | Website
- AIG Workers' Compensation Claims Capabilities - Website
- Claim Office Addresses - pdf
- Medical Management Networks - pdf
- Medical Provider Network Search, Medical Card and State Rules - Website
**If enrolled in Productivity Edge, use the website that was provided at time of enrollment.
- Pharmacy Benefit Management Program - pdf - English | Spanish
- Pharmacy First Fill Program - pdf - English | Spanish
- Mail Order Pharmacy Program - pdf