FREE WORD TEMPLATE · WE EMAIL IT

The claim form is half a submission.
This is the half behind it.

The weekly Client Tracking Log — the narrative of what you actually did for one injured worker, day by day, that the payer expects stapled behind the CMS-1500. A Word .docx with the header block, the dated entries, the bracket time style, and one worked week you can delete.

What you get

One .docx, two versions inside it.

The weekly client tracking log

The header block
Injured worker, claim number, employer, payer or MCO, the case level, and the week ending date — laid out the way a payer expects to find them, top of page one.
The entries
Grouped by date of service, in order, each one carrying the service code, the units, and the narrative sentence you wrote. Six-minute increments, because that is how the day is billed.
The time style
The bracket convention — the time range in brackets at the end of the note — kept consistent down the page, which is what makes a log readable to an auditor eleven months later.
The week total
A total line for units and time, positioned where you can check it against the claim form before either one goes out.
A worked example
One filled week with invented names and real code shapes, so you can see the intended rhythm — then select it and delete it.
A blank
The same document with the example stripped out, ready to save as your own template and restyle to your letterhead.
What it is not. It is a Word document, not a program. It will not add up your units, will not carry your notes over from a daily log, will not fill a CMS-1500, and will not tell you a week is unbilled. You will still be typing each activity into it by hand. That is the honest limit of a template, and it is the reason the software exists.

Where should we send it?

Two required fields; the other two only decide which version you get. A person on this end emails you the .docx, usually the same business day. No instant-download link, because there is not one to give you yet and we are not going to pretend otherwise.

Nurse case managers get the case-management version: billable hours, mileage and wait time in place of service codes.

We use this to send the template and, at most, a few useful emails about your state — unsubscribe on any of them (privacy). Please do not include claimant or claim information.

The reason we have a template worth sending

It is the same document the software fills.

Med Claims Pro does not have a house format for tracking logs. It fills your .docx — your headings, your letterhead, your table widths, your spacing — with your own notes, grouped by date of service, in your bracket style. The template we email you is that shape, written down. If you already have one you like, keep it: onboarding configures the software to yours.

The Documents screen showing Active BWC Cases, Billing Info and Accounts Receivable folders above a list of active clients with their payer and claim number.
Where the finished logs land — your own folder tree, one .docx per client per week, openable in Word in five years with or without this software.
The honest arithmetic of a template

Ten clients. Ten logs. Every Sunday.

A template makes each log tidier. It does not make it faster, because the typing is the work: the same six minutes you already recorded in the daily grid on Tuesday morning, retyped into a Word file on Sunday night, then onto the claim form, then into the receivables sheet. Four copies of one activity.

That is the part worth pricing, and you can price it yourself — the calculator takes your hours and your own rate and shows the year. Or watch a real week import in fifteen minutes: book the demo and bring one.

Book a 15-minute demo How the logs build themselves

1-877-843-1717 · admin@onservice.us · No card, no contract, your data stays on your computer.

Questions, answered.

Why is there no download button?

Because there is nothing behind it yet. The .docx is prepared and emailed by a person, usually the same business day. When it becomes an instant download we will put a button here and this answer will change.

Is the example week real?

No. Every name, claim number and employer in it is invented, the way every screenshot on this site is. No customer document leaves this building, anonymised or otherwise.

Will it match what my payer expects?

It matches the shape a working Ohio voc-rehab practice files behind a CMS-1500 — header block, dated narrative entries, units, week total. Payers differ in what they want on top, so treat it as a starting layout and edit it to yours. If you become a customer, onboarding configures the software to whatever you settle on.

I am a nurse case manager. Is this useful to me?

Yes — pick that on the form and you get the case-management version: billable hours, mileage and wait time in place of service codes, sized to go behind an itemised invoice rather than a CMS-1500. See how the case-management workflow runs.

Does the software need me to use your template?

No, and that is the point. It fills your .docx — your headings, letterhead, widths and spacing — with your own notes. Nothing in it imposes a house format, and the finished logs are ordinary Word files in your own folders.

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