As a medical provider, we know caring for patients is your first priority. Here’s what you need to know to make the process as simple as possible.
Requirements
State regulations dictate how you should request authorization for treatment:
- Make your request in writing for a specific course of proposed medical treatment.
- Use the DWC Request for Authorization form.
- Identify both the employee and yourself, identify specifically the recommended treatment or treatments, provide documentation substantiating the need for the requested treatment.
- Sign your request as the treating physician and fax it to the number of the regional office handling the claim below.
Additional information about the required forms and access to them is available at California’s Department of Industrial Relations, Division of Workers’ Compensation.
To request treatment authorization, please send your request for authorization to the dedicated UR fax number of the regional office handling the claim.
State Fund Regional Office |
Dedicated UR Fax # |
Bakersfield |
(707) 646-6801 |
Bay Area Claims Services - Pleasanton |
(707) 646-6291 |
Eureka State Contracts |
(707) 646-2682 |
Fresno |
(707) 646-6592 |
Inland Empire Claims Services - Riverside |
(707) 646-6020 |
Los Angeles Claims Services - Monterey Park |
(707) 646-2649 |
Major Case Operations |
(707) 646-2683 |
Major Case Operations State Contracts |
(707) 646-2690 |
Orange County Claims - Santa Ana |
(707) 646-2462 |
Redding |
(707) 646-6939 |
Riverside State Contracts |
(707) 646-0738 |
Rohnert Park State Contracts |
(707) 646-0584 |
Sacramento State Contracts |
(707) 646-0438 |
Santa Ana State Contracts |
(707) 646-0826 |
Stockton |
(707) 646-8125 |
Vacaville State Contracts |
(707) 646-2681 |