Form/template
2
min
read

Prescription form for injured workers

Injured workers' can fill out Optum's "First Fill" form that will function as a card they can bring
Back to Knowledge Center

Injured workers' can fill out Optum's "First Fill" form that will function as a card they can bring to their local pharmacy to receive injury-related prescriptions.

View Full Infographic
Related materials available for order:
No items found.
View
PDF
Topics
Medical treatment
All
Healthcare
related content

DME Guidance for DMEPOS vendors

New guidance on billing, authorizations and referral scripts to assist durable medical equipment

Status codes and CPT codes 99070 and 97010

The Colorado Division of Workers’ Compensation adopted several RBRVS fields and attributes for

Medical Records – Retention and Protection

Pinnacol receives injured worker medical records daily; disclosure of protected health information

Pinnacol Resources

Additional Resources

COVID-19 policy update
Learn more
workers’ comp
PolicyholdersAgentsInjured WorkersProviders
our difference
Industry ExpertiseGeneral DividendFuture of WorkersPinnacol Foundation
About
About UsCareersPress RoomOpen Records Policy
resources
Safety & TrainingKnowledge CenterOrder MaterialsBlogClaims
contact
Contact UsReport FraudSupplier/Partner RegistrationSelectNet Contract Interest Form
connect
Find an agentGet a quote
workers’ comp
our difference
company
resources
BlogReport an InjuryContact
Find an AgentGet a Quote
Pinnacol Assurance white logo PNG
LinkedIn social iconFacebook social iconInstagram social iconTwitter social icon
Disclaimer
Privacy Policy
Copyright © 2022 Pinnacol Assurance Pinnacol®, the Pinnacol Assurance® logo, and other trademarks and logos displayed on this website are the trademarks of Pinnacol Assurance.