Get Invoice Correction - C845 - Wcb Ab

The Invoice Correction - C845 - Wcb Ab is a crucial document used to amend billing information related to a workplace injury claim. This guide provides clear and supportive instructions to help users accurately complete the form online.

Follow the steps to fill out the Invoice Correction - C845 - Wcb Ab effectively.

1. Press the ‘Get Form’ button to access the Invoice Correction - C845 - Wcb Ab form and open it in your preferred online editor.
2. Enter the claim number and personal health number at the top of the form. Ensure that these numbers are correct, as they are essential for processing your amendment.
3. Fill in the worker’s name, including the surname, first name, and initial. This identifies the individual associated with the claim.
4. Provide the complete address, including the street, city/town, province, and postal code of the worker.
5. Input the date of the accident using the format yyyy/mm/dd. This information is necessary to relate the correction to the specific incident.
6. Enter a telephone number where the worker can be reached.
7. Input the date of service using the format yyyy/mm/dd.
8. Fill in the fee code, which indicates the type of service provided.
9. List the details of the services being corrected. For each service: provide the date of birth, contract number, skill code, units, and the amount charged. Clearly indicate what the amount 'was' and what it 'should be' for up to three services.
10. Use the additional comments section to clarify any specific details that may assist in processing your request.
11. Provide the name and address to which the fee is payable, ensuring this is printed clearly.
12. The provider must sign and print their name, along with the date of signing using the format yyyy/mm/dd.
13. Include the provider’s telephone number and WCB billing number, as these are crucial for follow-up.
14. Review all entries for accuracy, then save your changes, download, print, or share the form as needed.

Start filling out the Invoice Correction - C845 - Wcb Ab online today to ensure your billing corrections are addressed swiftly.