Wheelchairs & Power Mobility
Manual, lightweight, transport and power wheelchairs, with cushions and accessories.
Workers’ Compensation
Medical equipment for workers’ compensation claims
Injured on the job? When your authorized treating physician prescribes medical equipment, we process the order through your employer’s workers’ comp carrier or TPA — obtaining authorization, delivering the equipment and submitting the claim to them.
How It Works
Getting equipment through a work injury claim
Workers’ compensation covers reasonable and necessary medical care for an accepted work-related injury, including medical equipment prescribed by the authorized treating physician. In most cases the carrier or its third-party administrator (TPA) must authorize the equipment before delivery.
We handle that for you. With the physician’s order and the claim information, we send the request and supporting documentation to the adjuster and follow up until it is authorized. We then deliver the equipment and submit the claim to the carrier. For approved claims, injured workers typically pay nothing out of pocket.
What we need to get started
- Physician’s prescription or orderFrom the authorized treating physician
- Workers’ comp claim numberAnd the date of injury
- Carrier or TPA namePlus the adjuster’s name and phone, if available
- Patient informationName, date of birth, phone and delivery address
Physician offices and case managers can fax everything to (844) 416-0360.
Our Process
From the physician’s order to claim submission
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Step 1
Order Intake
We receive the physician’s prescription and the claim details — by fax at (844) 416-0360, by email, or through our online request form.
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Step 2
Insurance Verification & Authorization
We verify coverage with the workers’ comp carrier, TPA or auto insurer and obtain authorization for the prescribed equipment.
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Step 3
Delivery & Setup
Once authorized, we deliver the equipment to the patient, set it up and explain how to use it safely.
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Step 4
Claim Submission & Billing
We submit the claim to the insurance carrier with the authorization and documentation, and follow up until it is processed.
Equipment
Equipment commonly prescribed for work injuries
Back and shoulder strains, fractures, crush injuries, surgeries and burns are among the most common work injuries. Equipment we regularly provide on workers’ comp claims includes:
Hospital Beds & Support Surfaces
Semi- and full-electric home hospital beds, pressure-relief mattresses and accessories.
Walkers, Rollators & Crutches
Standard and wheeled walkers, rollators, underarm and hands-free crutches, and canes.
Back & Spinal Braces
LSO and TLSO back braces and cervical collars for back and neck injuries.
Knee, Ankle & Foot Orthoses
Knee braces, ankle braces and walking boots for fractures, sprains and post-surgical care.
Shoulder, Wrist & Hand Orthoses
Shoulder immobilizers, slings, wrist braces and hand and finger splints.
Bone Growth Stimulators
Prescribed bone growth stimulators for slow-healing fractures and spinal fusion.
Compression & Burn Garments
Custom-measured and standard compression garments, stockings, sleeves and gloves.
For Claims Professionals
For adjusters, TPAs, nurse case managers & employers
Equipment requests that are easy to review, authorize and pay.
Complete requests
The physician order, HCPCS codes and item details are sent together for review.
Your authorization process
We follow each carrier’s or TPA’s authorization requirements and network rules.
Proof of delivery
Delivery and setup are confirmed and documented for the claim file.
Accurate claim submission
Claims are submitted with the claim number, authorization and supporting documents.
Insurance
Workers’ comp carriers & TPAs we work with
- Paradigm
- The Hartford
- Progressive Auto
- Travelers
- State Farm
- Liberty Mutual (Workers’ Comp)
- Sedgwick
- Gallagher Bassett
- AAA Auto
- Berkshire Hathaway GUARD
- Broadspire
- Helmsman Management Services
- Meemic
- State Auto
Carrier names are trademarks of their respective owners and are listed only to identify the insurers we submit claims to; this does not imply endorsement. Coverage depends on the policy and claim approval. Don’t see your carrier? Contact us — we work with many other carriers and TPAs.
FAQ
Workers’ compensation equipment questions
Who pays for medical equipment in a workers’ compensation claim?
When a work injury claim is accepted, equipment prescribed by the authorized treating physician is paid by the employer’s workers’ compensation carrier or its third-party administrator (TPA). We obtain the authorization and submit the claim to them directly.
Can I choose Mercy Medical Equipment as my supplier?
In most cases, yes. Ask your physician to send the order to us, or contact us yourself and we will coordinate with your doctor and your adjuster. Some carriers use preferred provider networks — we confirm this before delivery.
Do I have to pay for my equipment?
For approved workers’ compensation and auto accident claims, we submit the claim directly to the insurance carrier or claims administrator, so patients typically pay nothing out of pocket. Coverage is decided by your carrier and the status of your claim. If anything is not covered, we tell you before delivery.
Who submits the claim to the insurance company?
We do. After delivery, we submit the claim to the workers’ comp carrier, TPA or auto insurer with the authorization, HCPCS codes, physician order and proof of delivery, and we follow up until the claim is processed. Patients do not need to file anything for the equipment.
What if my claim is pending or the equipment is not approved?
We stay in contact with the adjuster while a claim is pending and let you know as soon as a decision is made. If the equipment is not authorized, we explain your options before anything is delivered.
Injured at work and need medical equipment?
Send us the prescription and claim details. We verify coverage and obtain authorization, deliver the equipment, and submit the claim to the insurance carrier for you.