Reopened claims 2026

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The document outlines a Reopened Claims Program for reimbursement requests from self-insured employers to the Department of Consumer & Business Services. It includes sections for reporting payments made under specific Oregon statutes, details about workers' compensation claims, and requires certification of payment amounts. The form is designed to facilitate the reimbursement process for disability-related claims.

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Click ‘Get Form’ to open the Reopened Claims Program in the editor.
Begin by entering the quarter and year for which you are requesting reimbursement. This information is crucial for processing your claim accurately.
Fill in the name and address of the self-insured employer or insurance company. Ensure that all details are correct to avoid delays.
In the section for workers' names, list each worker alphabetically by last name, followed by their first name. This helps streamline the review process.
Provide the date of injury (DOI) or first disability date for each worker. If it’s an occupational disease, indicate this clearly.
Complete the fields for weekly wage, days off, marital/dependency status, and dollar amount requested for reimbursement.
Indicate the TPD/TTD/PTD periods accurately, ensuring that all dates are filled in correctly to reflect the duration of disability.
Finally, certify your claim by signing and typing your name, title, and phone number at the bottom of the form before submitting it.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a reopened claim?

Reopened claim means a claim that an insur- er has previously closed, but that has been re- opened upon an insureds request for additional costs for loss or damage previously disclosed to the insurer.

Can a closed UC claim be reopened?

A message will be displayed in the journal and claimant history. Agents can re-open closed claims where the Additional actions (close claim) to-do has not been completed. Re-opening closed claims can only be done within the same assessment period as the claim closure date.

What is a back-out claim?

To back out a claim, the provider inputs the claim into the billing system with all of the same information as the original claim EXCEPT for the billed units. The provider will input the units as 0 (which then causes the rate box to gray out, as there is no cost when there are 0 units.

What is a reopened issue?

In a security reopening, the U.S. Treasury issues additional amounts of a previously issued security. The reopened security has the same maturity date and coupon interest rate or spread as the original security, but with a different issue date and usually a different purchase price.

How to reopen a closed claim?

When you call, explain to the customer service representative that you would like to reopen the claim and provide the reason why. Its also important to be as specific as possible about what has changed or what new information you have that would justify reopening the claim.

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