Form WC-MD-02 Application for Payment of Additional Reimbursement of Medical Fees - Missouri

What Is Form WC-MD-02?

This is a legal form that was released by the Missouri Department of Labor and Industrial Relations - a government authority operating within Missouri. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is form WC-MD-02?
A: Form WC-MD-02 is an application for payment of additional reimbursement of medical fees in Missouri.

Q: What is the purpose of form WC-MD-02?
A: The purpose of form WC-MD-02 is to request additional reimbursement for medical fees related to a workers' compensation claim in Missouri.

Q: Who can use form WC-MD-02?
A: Form WC-MD-02 can be used by individuals who have incurred medical fees as a result of a work-related injury in Missouri.

Q: How do I fill out form WC-MD-02?
A: To fill out form WC-MD-02, you need to provide information about the medical services received, the associated fees, and attach supporting documentation.

Q: Is there a deadline for submitting form WC-MD-02?
A: Yes, form WC-MD-02 must be submitted within two years from the date of service or two years from the last date of payment, whichever is later.

Q: What happens after I submit form WC-MD-02?
A: After submitting form WC-MD-02, the request for additional reimbursement will be reviewed by the appropriate authorities, and a decision will be made regarding the payment.

Q: Can I appeal if my request for additional reimbursement is denied?
A: Yes, if your request for additional reimbursement is denied, you have the right to appeal the decision.

Q: Who should I contact for more information about form WC-MD-02?
A: For more information about form WC-MD-02, you can contact the Missouri Division of Workers' Compensation.