Injury Response

Adopt a formal program for both point-of-injury response and post-injury follow-up and contact. This includes displaying a positive and concerned response to an injury and maintaining regular contact with the employee until he or she is back on the job.

Channeling to Medical Providers

Promote and publicize your medical provider panel before workplace injuries occur. Ensure your supervisors and managers are familiar with the designated medical providers and train them to recommend the occupational medical provider for initial care in non-emergency situations.

Return to Work

Intact Insurance manages workers compensation claims to promote your employee’s recovery and quickest possible return to work.We also work directly with employers to return employees to transitional work whenever possible. Getting injured employees back to work is our primary focus.

Managed Care Services 

Management of the medical expense portion of a claim is critical. Medical claim costs can escalate quickly, so we work with key partners to deploy a full array of cost containment programs. These programs begin immediately after an injury occurs and will continue as long as treatment is medically necessary. Our cost containment programs include:

Preferred provider organizations:

Genex Provider Pathways is utilized for all States, however for the California MPN please note specific instructions below.

  • Accessing the Genex Provider Pathways Channeling Site:
    • Go to: www.genexservices.com.
    • Click Find a Provider/Genex Provider Pathway (top right)
    •  Login with Username: WCC and Password: Claims
  • Features:
    • Search for Network Providers by address, name and region
    • Create Work Site Posters

If you have any problems accessing Genex Provider Pathway, Contact GenexProviderPathway@genexservices.com 

 
California MPN

Genex Provider Pathways may be used to access the Genex MPN #2500. Or you may request a regional list of all MPN providers in your area by calling the MPN Contact noted below.

Employer Access to the Genex Provider Pathways Channeling Site:

  • Go to: www.genexservices.com.
  • Click Find a Provider/Genex Provider Pathway (top right)
  •  Login with Username: WCC and Password: Claims
  • Select the CA MPN ID# 2500 Network
  • Features:
    • Search for Network Providers by address, name and region
    • Create Work Site Posters

Employer Access to the Genex Provider Pathways Channeling Site:

    • Go to: www.genexservices.com.
    • Click Find a Provider/Genex Provider Pathway (top right)
    •  Login with Username: Genex3 and Password: CAMPN3

In order to obtain all of your Genex MPN #2500 documents and other claim related information, please visit the State-Specific Forms & Resources page and filter to California.

 

For more information you may contact the MPN Contact or Medical Access Assistant for the Genex MPN #2500:

MPN Contact:
Name: Genex Services
Title: CAMPN
Address: 88 South Disneyland Dr., Suite 300, Anaheim, CA 92802
Phone: 800-822-6099 (Press 8)
Email: genexmpnservices@genexservices.com
Medical Access Assistant:

Phone: 866.266-8702
Fax: 800-560-8247
Fax number: 866.266-8702
Email address: MPNMAA@genexservices.com

 Genex Texas Health Care Network (HCN):  Access to the Genex Texas HCN Program Manual, checklisk and other supporting HCN documentation can be found in our resources section.

Pharmacy First Fill Program - Optum 

  • First Fill Program – A prescription drug card program designed to ensure that the injured worker receives their initial medication as soon as possible after sustaining an injury, even before the claim is accepted as compensable. This program provides access to our national network of over 60,000 pharmacies with NO out-of-pocket costs for the injured worker. There is an $85 cost limit and a 10 day supply limit and the temporary card expires 30 days after the injury.
  • Once a claim is accepted as compensable, generally within 7-14 days, a personalized prescription card will be mailed directly to eligible claimants allowing full refills of covered prescriptions. 
  • Our Pharmacy Benefit Manager (PBM) will absorb the cost of the first fill prescription if the claim is later denied or the medications are unrelated to the injury. OneBeacon covers the costs of the first fill prescriptions for injury related medications that are medically necessary on claims that are ultimately accepted as compensable.