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Within 5 days of your initial examination, for every occupational injury or illness, send two copies of this report to the employer's workers' compensation insurance carrier or the insured employer.
The employer is required to file an Employer's First Report of Injury or Illness [DWC FORM-001 Rev. 10/05] with the injured worker's insurance carrier, and the injured claimant or the claimant's representative within 8 days after the employee's absence from work or receipt of notice of occupational disease.
Within 5 days of your initial examination, for every occupational injury or illness, send two copies of this report to the employer's workers' compensation insurance carrier or the insured employer.
Occasionally a patient will come into an office and see a provider for an illness or injury that is work-related; however, the patient fails to inform the provider that the illness or injury is work-related. If this happens, the patient's primary payer then gets billed for the services or procedure.
If the total PPD rating is less than 80 percent, the maximum duration of indemnity payments for any whole body injury is 500 weeks, including TTD and PPD. If the PPD rating is 80 percent or more, benefits are paid for a maximum of 700 weeks.
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Time limit for filing First Report of Injury form? Varies from 24 hours to 14 calendar days; depending on state requirements. It is best to complete immediately as not to forget and miss the qualifying time limits.
You need to complete this form and send a copy to EMPLOYERS and the New Mexico Workers' Compensation Administration within 10 days of knowledge of any alleged work-related injury or occupational disease that results in more than seven days of lost work.
Compensation is 66 2/3 percent of the injured New Mexico workers wage. Minimum weekly payment is $36 or the workers actual wage if it is less. Maximum weekly payment is 100 percent of the New Mexico sate average weekly wage or $669.21. Maximum number of payments is for the lifetime of the injured New Mexico worker.
The employer is required to file an Employer's First Report of Injury or Illness [DWC FORM-001 Rev. 10/05] with the injured worker's insurance carrier, and the injured claimant or the claimant's representative within 8 days after the employee's absence from work or receipt of notice of occupational disease.
EE: This simple acronym denotes the employee, which refers to the injured worker launching the claim. ER: In workers' compensation, ER is used to denote the employer.

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