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  1. How to properly fill out the Medical Mileage Form for Workers Compensation.Workers Comp Medical Mileage Form TutorialWorkers Compensation Reimbursement for M...

  2. This form should be used for medically related travel covered by the Federal Employees' Compensation Act and the Energy Employees Occupational Illness Compensation Program Act of 2000. For travel expenses reimbursement under the Black Lung Benefits Act (30 USC 901; 20 CFR 725.406 and 725.701) use the Form OWCP-957 Part B OMB No. 1240-0037

  3. You can use this mileage reimbursement calculator to determine the deductible costs associated with running a vehicle for medical, charitable, business, or moving. You can calculate mileage reimbursement in three simple steps: Select your tax year. Input the number of miles driven for business, charitable, medical, and/or moving purposes.

  4. To obtain reimbursement, you'll need to submit the required documentation to the workers' comp insurance company. Drivers should keep a mileage log, noting the miles that you drive during each trip to your doctor, therapist, or other treatment approved through workers' comp.

  5. Medical Travel Refund Request. We have made the process of filing for medical travel reimbursement easier with two new streamlined forms. OWCP-957A - Medical Travel Refund Request – Mileage. OWCP-957B - Medical Travel Refund Request – Expenses.

  6. 3 mar 2020 · The workers’ compensation insurer has 15 days to provide reimbursement after you’ve submitted documentation of mileage, meals, and lodging. If the insurer doesn’t pay within this timeframe, it can be subject to a late penalty. Download FREE Medical Mileage Reimbursment Form.

  7. 17 lut 2024 · Effective February 17, 2024, you must use and complete the new Medical Travel Refund Request- Expenses, OWCP-957B form, to obtain reimbursement for mileage cost, and other expenses for travel related to medical treatment for your covered Black Lung condition.