1. All commercial insurance carriers licensed to sell workers’ compensation insurance in the state shall provide to the Missouri division of workers’ compensation at least every six months workers’ compensation medical claims history data as required by the division. Such data shall be on electronic media and shall include the current procedural and medical terminology codes relating to the medical treatment, dates of treatment, demographic characteristics of the worker, type of health care provider rendering care, and charges for treatment. The division may require a statistically valid sample of claims. Companies failing to provide such information as required by the division are subject to section 287.740. The division may, for purposes of verification, collect data from health care providers relating to the treatment of workers’ compensation injuries.

2. The Missouri consolidated health care plan as established in section 103.005 shall, upon request of the division, provide data comparable to that provided by the insurance carriers as required in subsection 1 of this section.

Need help with an employment contract?
Have it reviewed by a lawyer, get answers to your questions and move forward with confidence.
Connect with a lawyer now

Terms Used In Missouri Laws 287.894

  • division: as used in this chapter means the division of workers' compensation of the department of labor and industrial relations of the state of Missouri. See Missouri Laws 287.020
  • State: when applied to any of the United States, includes the District of Columbia and the territories, and the words "United States" includes such district and territories. See Missouri Laws 1.020

3. The data required in subsections 1 and 2 of this section shall be used by the division to determine historical and statistical trends, variations and changes in health care costs associated with workers’ compensation patients compared with nonworkers’ compensation patients with similar injuries and conditions. Such data shall be readily available for review by users of the workers’ compensation system, members of the general assembly, the Missouri division of workers’ compensation and the department of commerce and insurance. Any data released by the division shall not identify a patient or health care provider.

4. Any additional personnel or equipment needed by the division to meet the requirements of this section shall be paid for by the workers’ compensation fund.