Washington vocational rehab billing —
MARFS Chapter 25, without the retyping.

Your week, in Washington’s documents.

Ability-to-Work Assessment interviews, job analyses, employer contacts, plan development on Option 2 timelines — every one a coded, timed entry that has to land inside a cap.

• 8:20 a.m.
  AWA interview with the injured worker, fifty minutes.Eight units of 0810V at $11.05. The referral’s remaining authorization drops on screen while you are still in the parking lot.
• 11:05 a.m.
  Two employer contacts and a job analysis write-up.Three rows, three unit counts, three dollar figures — all done as you type, not on Sunday.
• 2:30 p.m.
  Plan development against Option 2 timelines.Filed to the right referral, so the burn-down against a cap near $7,776 is a number rather than a guess.
• 4:45 p.m.
  The report has to travel with the bill.Report and bill leave together; the confirmation files itself into the claimant’s folder.
• 9:00 p.m.
  Your own tracker, then L&I’s billing, then reconciling both against the cap.That is the shift this deletes. One entry made it all three.

The grid an Ohio caseload produces — codes at $81.90 and $91.00, 0.1-unit entries, notes in her own bracket style. In Washington the codes, the rates and the form change; the row does not.

Every one of those rows is typed once, as it happens. The daily log writes itself as you go, the weekly narrative log builds in your own Word template, the claim form or invoice fills with the right units and the right payer block, and the receivable exists the moment the bill leaves. The whole chain →

A referral cap is a budget you can only see by adding it up.

An Ability-to-Work Assessment referral caps near $7,776. Nothing stops you working past it — the only thing that stops you is arithmetic you do by hand, usually after the fact, usually in a spreadsheet built for a different referral.

So the burn-down lives on the grid: authorized, used, remaining, per referral, updating as you enter the work rather than as you review it. When the remainder gets thin you find out on a Tuesday morning instead of at invoice time.

State Fund and self-insured claims sit side by side in the same receivables list, because you carry both and they pay differently.

Who pays you in Washington.

Washington is one of four monopolistic states. State Fund claims are billed to L&I; everything else goes to a self-insured employer or its TPA. Two different payers on one caseload, with two different habits about paying on time.

One check, many claimants. Whichever of these names is on the envelope, the check covers a dozen files at once. You record it once, tick the bills it pays, and anything short is flagged with the exact gap and the original form attached, ready to rebill. How that screen works.

Payer fax numbers and billing addresses go stale faster than any page can keep up, so we publish them only where we keep them current — today that is Ohio’s nine MCOs. Your Washington payers, their submission addresses and their quirks get set up during onboarding, from your own files.

Questions, answered.