Bureau of Monitoring and Audit

Core Functions

• Overall monitoring and auditing of carrier performance.
• Monitoring accuracy of benefit payments; initiating intervention efforts when appropriate.
• Establishing permanent total cases eligible for Division-paid supplemental benefits.
• Assessing penalties for late reporting, benefit payments, or medical payments.
• Providing technical assistance to customers through telephone contacts, training, and audit workshops.
• Collection, quality control, analysis and reporting of medical data provided under workers' compensation.
• Establishes and implements the rules, requirements, and processes for electronic reporting of the First Report of Injury, Subsequent Report of Injury and Proof of Coverage forms, using national EDI standardized file formats.

Contact Information