CMS-1500Treating Physician Report (via CMS-1500)
Issued by Nebraska Workers' Compensation Court
Treating Physician Report (via CMS-1500) (CMS-1500) — state-prescribed clinician report used by the state workers’ comp agency.
Key facts
Clinicians fill out · Submitted to regulator · Employers file
- When it’s used
- First treatment
- Who fills it out
- Treating physician of record
- Who signs
- Authorized treating physician.
- Where it goes
- Within 14 days after first treatment (Rule 33)
- Electronic submission
- Status unspecified
- Narrative substitution
- Current CMS-1500 meets the requirement
Sources & citations
Every form we publish traces to an authoritative government source. We cite the issuing agency, the underlying statute, and the operative regulation so you can verify scope and signing authority for your own records.
Issuing agency
Nebraska Workers' Comp Court
VerifiedOpenStatute
Neb. Rev. Stat. §48-1xx (WC)
Attribution. Researched and maintained in collaboration with the wc-hub workers’ compensation reporting project (NE). BlueHive does not modify the underlying government PDF; the file you download is the agency original.
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