Workers' Compensation and Managed Care

Welcome to Everest National's Workers' Compensation and Managed Care Center. This library contains useful information designed to help policyholders and their employees find medical providers and manage workers' compensation claims.

Report a Claim

Timely reporting of claims can benefit policyholders by reducing lost time days, decreasing litigation, offering quicker recoveries and lowering claim costs

Detailed instructions on how and where to report a claim are contained in your insurance policy packet, or the claim reporting notice included with your policy. For further information or assistance with Workers' Compensation claims, please call (800) 529-1354.

California Claim Documents

• DWC-1
• California Posting Notices
  • If a Work Injury Occurs - Effective January 1, 2013
  • DWC-7 - Effective December 31, 2012 and Prior
• Employers Report of Injury (DSLR5020)

Workers' Compensation Medical Providers

• Everest Medical Provider Network (California only)
  • For Dates of Injury AFTER December 31, 2010
  • For Dates of Injury BEFORE January 1, 2011
• Health Care Network (Texas only)
• Everest Preferred Provider Network (all other states)

If you need assistance locating a provider or selecting the correct network, please contact Everest Managed Care support at (800) 608-9822.

California Medical Provider Network Documents (MPN)

Employer information (PDF)

• Employer Responsibilities
• Employer Verification
• MPN Implementation Notice for New Hires (English)
• MPN Implementation Notice for New Hires (Spanish)
• Transfer of Care Policy (English)
• Transfer of Care Policy (Spanish)
• Continuity of Care Policy (English)
• Continuity of Care Policy (Spanish)
• Predesignation of Personal Physician form (English)
• Predesignation of Personal Physician form (Spanish)

Individual Forms (Downloadable Individual PDFs)

• Employer Verification Form
• MPN Implementation Notice for New Hires (English)
• MPN Implementation Notice for New Hires (Spanish)
• Transfer of Care Policy (English)
• Transfer of Care Policy (Spanish)
• Continuity of Care Policy (English)
• Continuity of Care Policy (Spanish)
• Predesignation of Personal Physician form (English)
• Predesignation of Personal Physician form (Spanish)

Employee MPN Notice Posting (English)
Employee MPN Notice Posting (Spanish)

If you need assistance locating a provider or selecting the correct network, please contact Everest Managed Care support at (800) 608-9822 .

Benefits of Using the MPN (Click Here)

Facts About Workers' Compensation (Click Here)