Workers' Compensation

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Tracy Gardner
Workers' Compensation Claims Analyst
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Workers' Compensation Insurance (WC) provided by The University of Texas at Arlington (UTA) is funded by The University of Texas System (UT System) through a self-insured WC program. Cannon Cochran Management Services Inc. (CCMSI) administers this program. Administering the program includes receiving, investigating, and making liability determinations on WCI claims; determining the reasonableness and necessity of medical treatment and services; generating income benefit payments to injured employees and medical payments to health care providers. All employees of UTA whose names appear on the payroll are eligible for Workers' Compensation Insurance.

The Environmental Health & Safety Office (EH&S) is responsible for coordinating the UTA Workers' Compensation Program. The UTA WC Claims Analyst serves as a facilitator between UTA injured employees and all UT System WC Insurance entities by submitting appropriate forms in a timely manner and making every effort to negotiate modified duty assignments.

Employees who experience a work-related injury are required to communicate the incident immediately to their supervisor.
The injured employee, supervisor or designee are advised to notify the UTA Workers' Compensation (WC) office of the injury at 817-272-5563 or email workerscompensation@uta.edu about the incident.
Employees are required to report all injuries/illnesses within twenty-four (24) hours, even if they do not need medical attention.
Employees who experienced a bloodborne pathogen (BBP) exposure, click here for procedures.

* Workers' Compensation Program Frequently Asked Questions

Telemedicine Services now offered through the IMO network

IMO Telemed Services

IMO Telemed Employee Process

Telemedicine Frequently Asked Questions (IMO & RediMD)

IMO Telemed Services-Concentra

Employees who choose to receive medical attention, please be advised:

UT System has contracted with Injury Management Organization Med Select, a certified WC health care provider, to provide medical care for employees who experience a work-related injury. Click here to find a provider: https://injurymanagement.com/find-a-provider/
OR see Providers Nearest to the University
In an emergency situation, employees should seek care from the nearest urgent care facility or hospital ER. However, follow-up care must be received from a network provider. Your treating doctor will coordinate all medical care and make referrals for diagnostic testing or to be seen by a specialist.
Unless the injured employee has received medical treatment from an unauthorized physician, the employee should not be billed directly for health care intended to treat a work-related injury. If the employee receives a bill from a health care provider, the employee is advised to send the invoice to the EH&S WC Program immediately. All medical related expenses are subject to fee guidelines established by Texas Department of Insurance, Division of Workers' Compensation.
Student workers should NOT seek medical treatment at UTA Health Services because this clinic is not an approved provider for work-related injuries.

UT System Quick Reference Card

Injury Reporting Forms: email completed forms to workerscompensation@uta.edu

Employees are required to complete, sign and submit the Employee's Report of a Work-Related Injury or Occupational Disease form as soon as possible after the injury.
Employees are required to complete, sign and submit the WC Network Acknowledgement form which provides awareness of the Health Care Network. (this form is also available in Spanish and Vietnamese)
Supervisors, or their designee, should complete, sign and submit the Supervisor's Report of Employee Work-Related Injury or Occupational Disease form.
The Notification of Work-Related Injury or Occupational Illness should be presented to the injured employee's medical provider. It notifies the medical provider that a work-related injuiry has been reported and gives the provider the WC insurance information needed to process the medical bills.
The Workers' Compensation Pharmacy Information form should be presented to the injured employee's pharmacy so that he/she can receive medications prescribed for the work-related injury only. Or try the new mobile app and use the Text2Fill process to receive the Rx First Fill card directly on your mobile phone by using text messages.This form expires 24 hours after it is used.
PLEASE NOTIFY EH&S WCI at 817-272-5563 of any follow-up appointments, lost work days related to the injury, or resignations/terminations within three days of knowledge.

Questions about the network:		Complaints about the network:
IMO/Injury Management Organization		IMO Net Complaint Dept.
888-466-6381		877-870-0638
www.injurymanagement.com		netcomplaint@injurymanagement.com