2. Worker's Compensation
3. Insurers and Self-Insurers
4. Frequently Asked Questions when submitting Subsequent Reports (WKC-13)

Frequently Asked Questions when submitting WC Subsequent Reports?(WKC-13) using the Insurers' Pending Reports

1. Why Does the "Amount Comp Paid" field label turn red and I see a "Amount Comp is required" message?

A payment amount is required for any payment type entered, except Salary Continued, even if the return to work date is not yet available. Make sure that you enter the total paid to date for the period in question, and not the most recent check amount. The payment amount can be updated at a later date if it changes. Please see below for instructions on how to do this.

2. Why do I keep getting the pop-up message: "Payment Errors: Overlapping dates found. Please check the payments on what you entered so that the same period of disability is not overlapping with another payment on the claim"?

This will occur for two reasons. First, if the dates of the disability period which you are trying to report overlap with a period of disability that was previously reported and second, if the dates of the disability period which you are trying to report are the same as a period of disability that was previously reported but the type of payment that you are choosing is different from the type of payment that was previously reported.

The Payment Info Tab will show you the exact payment type(s) and the disability period dates that are on record in the WC Division database. If you need to have the disability period last day worked or return to work or payment type changed, then please use the Send Email button to request the changes.

3. Why does the "Last Day Worked" field label turn red and I see a "Last day Worked for TPD must begin on Sunday or be the Date of Injury" message?

TPD is paid for an entire week (Sunday through Saturday) unless it begins in the week that the injury occurred. If TPD begins in the week that the injury occurred, then the last day worked is equal to the date of injury. You will not receive the above error message if the last day worked is NOT a Sunday and it is equal the date of injury. If TPD begins in any other week, the last day worked is always a Sunday.

4. Why does the "Return to Work" field label turn red and I see a "Returned to Work for TPD must begin on a Sunday" message?

The return to work date for TPD is always a Sunday.

5. I have a claimant who was on TTD for Monday, Tuesday and Wednesday, and then started TPD on Thursday. If TPD must be run from Sunday to Sunday, how do I report this?

Whenever there is TTD and TPD in the same week, the entire week is figured as TPD and reported accordingly.

If the claimant has not been paid for the three days of TTD, then fill out the Internet TPD worksheet as an entire week of TPD and pay the claimant whatever the TPD rate is for the week.

If the claimant has been paid for the three days of TTD, then when filling out the TPD Details worksheet enter as the wages earned whatever the claimant earned for the week from the employer. Do not include as wages earned what the claimant was paid in TTD. When figuring out what the claimant is owed, subtract whatever has been paid in TTD from the TPD rate for the week.

6. If a claim is under investigation, how do I move it out of investigation status in order to submit payments?

Click the "Send WKC13" button and submit payment information as applicable.

7. What if I have a week(s) within a period of TPD where the employee earns more than his or her weekly wage, or is on vacation. How do I reflect this?

In this case the period in question needs to be skipped. Accomplish this by splitting the period of TPD into two periods on the WKC-13, with one period before the non-compensable week(s) and one period after. You will then have to complete two worksheet entries, one for the first period and one for the second.

8. If the person has gone from Salary Continued to TTD (or vice-versa) without a break in benefits, how do I report this?

Assume that the person is going from Salary Continued to TTD. You need to show a one day overlap, which can be done as follows: make the last day worked for the period of TTD one day prior to the return to work date for the period of Salary Continued. The same format holds true when going from TTD to Salary Continued.

9. How do I update the amount paid for a line of PPD?

Unlike the older version of the Pending Reports, this is no longer accomplished on the WKC13 screen. Instead, go to the Payment Info Tab on the Claim Details screen, click on the Edit Payment Amounts button, and then enter the total amount paid to date for the PPD in the applicable Amount Comp Paid field. Do not simply enter the amount of the most recent PPD payment, as this could generate an underpayment.

10. What is the difference between attorney fees withheld and attorney fees paid?

In the former case fees are held back from the claimant's disability payment, but not yet paid to the attorney. In the latter case fees are held back from the claimant's disability payment and then paid to the attorney.

11. If I have accidentally selected "withheld" or "paid" from the attorney fee status dropdown, then how do I undo that?

Click on the Attorney Fee Status field and then click on "Select".

12. I have an open period of disability with attorney fees withheld. If it turns out that the money is not going to the attorney, but should now be paid to the claimant, then how do I change the Attorney Fee Status?

You cannot do this via the Pending Reports. Use the Send Email button to request that one of our staff make the change for you.

13. How do I add an attorney and attorney payment to the claim?

On the WKC13 enter the amount in the Attorney Fees field and then select either Withheld or Paid in the Attorney Fee Status field. Click the Next button and this will take you to the Attorney Search screen. Enter the search parameters and then click the Search button.

If your search returns the correct attorney, then click the check box in front of the Attorney Name field and then click the Select button. You will be taken to the Attorney Mat Step. From here click the Next button to move to the next Mat Step on the WKC13, which will be the Wage Mat Step.

If your search does not return the correct attorney, then click the None of These button. You will be taken to the Attorney Mat Step. Enter the attorney information on the screen and click the Next button to move to the next Mat Step on the WKC13, which will be the Wage Mat Step.

14. When submitting payment information do I need to include all of the past payment information that the claim may have?

You do not have to re-submit the claim's payment history. Assume, for example, a claim that has three closed pay periods and one open pay period. When submitting a WKC-13 to close the open pay period the payment type, last day worked, and amount paid will be pre-filled for this period. Simply enter this period's return to work date; you do not need to enter any information pertaining to the previously reported closed periods.

15. The Internet WKC-13 has only three lines on which to report payment information. How do I enter additional payment information?

Click the Add New Payment Row button once for each additional line that you need.

16. When submitting payment information, if the value in the wage field is protected how can I change it?

You need to submit a WKC-13A1 with the updated wage information.

17. How can I see what the Workers Compensation Division already shows for payments on this claim?

Click on the Payment Info Tab on the Claim Details screen for the claim and you will see the entire payment history for the claim, including any balance due if applicable. You can also click the View Payments button from the WKC13 Confirmation screen reached after the successful submission of a WKC13.

18. How do I know the submission of the Internet WKC-13 was accepted?

When you click the Submit button and your WKC-13 is accepted you will be taken to the WKC13 Confirmation screen. On this screen you will see the following message: "Your WKC-13 has been successfully processed. The confirmation number is XXXXXXX."

19. With respect to the question "Will there be more Temporary Disability payments made on this claim in the future?" how should I answer this question if I know PPD will be due?

If the pay period is over three weeks but the person has returned to work, then select NO. This will put the claim into "waiting for final medical report" status, which is where it should be. If the pay period is three weeks or less and the person has returned to work then you need to go up to the "Do you want to enter more payment information for this claim now?" question on the Confirmation screen and select YES. You will be taken back to the WKC-13 screen where you should enter a medical report expected date in the Date Final Medical Report Anticipated field and then click Submit. This will hold the claim open and waiting for the medical report.

20. How can I change the injury date and/or insurer claim number?

Enter new values in these fields and submit. You do not need to send payment information with your submission. The date of injury can only be changed to plus or minus six days from the original date, as long as the new date is not after the last day worked. For changes outside of this parameter please use the Send Email button to notify us and staff will make the change.

21. What if I have to change the last day worked of a current or previous pay period?

This cannot be accomplished through the Pending Reports WKC-13. If you need to make this change, then use the Send Email button to notify our staff of the new last day worked.

22. What if I need to change the payment type for an already existing pay period, or delete an entire payment period?

This cannot be accomplished through the Pending Reports WKC13. Please use the Send Email button to let staff know which pay period needs to be deleted or changed. You may, however, change the payment amount.

23. I have a balance due on a claim which has now been paid. How do I notify the WC Division of this?

Go to the Payment Info Tab on the Claim Details screen for the claim in order to see the underpaid disability period. Click on the Edit Payment Amounts button and enter the total amount paid/due for the applicable disability period, and then click Submit. Do not simply enter the amount of the balance due in the Amount Comp Paid field, as this will generate another balance due.

24. How do I change the payment amount?

You can change the amount paid for a pay period that has a return to work date by going to the Payment Info Tab on the Claim Details screen and using the Edit Payment Amounts button. If you want to change the amount paid for an open pay period, i.e. a period without a return to work date, then ton the WKC13 enter the new amount, as the payment type and last day worked will be pre-filled. Always make sure that you enter the total paid to date for the period in question, and not the most recent check amount.

25. How do I change the return to work date?

Users can no longer make this change themselves. Use the Send Email button to inform us of the new return to work date, and staff will then make the change.

26. What if we file a claim for occupational hearing loss, or other type of PPD, that is no lost time?

Please do not close these claims as no lost time via the Pending Reports. For occupational hearing loss claims we still need to have the medical report and audiogram so a permanent disability rating worksheet can be completed.

27. What type of information are you looking for in the "wage comments" field?

Any pertinent information related to wage. For example, if the claimant goes from part time to full time or vice-versa, you can let us know the date of that change. Or, if you are paying a claimant based upon same or similar or a volunteer fire department, you can tell us upon what you are basing the wage.