File Number: CIA-1005 (New Condition)- -ACC 8, DEPARTMENT OF LABOR OFFICE OF COMP PROGRAMS PO BOX 8300 DISTRICT 14 SEA LONDON. KY 40742-8300 Phone' (206) 470-3100 April 18, 2016 Date of Injury 05/21/2010 Employee KEVIN s, ALBERT KEVIN ALBERT Dear Mr, ALBERT- This is to notify you that the accepted conditions in your case have been updated. Your claim has been accepted for the following additional condition(s) Irritable larynx Please advise all medical providers who are treating you for this injury of the newly accepted conditionisi with ICD code(5). Accurate coding facilitates timely bill processing. It the current accepted condition(s) need to be revised or additional complications related to the current accepted conditroms) need to be added, your physician should explain in writing, with medical rationale. the relationship between any additional condition and the work injury or the current accepted oohditionis) noted above, As a reminder, OWCP must approve in advance any surgery or procedure other than emergency surgery (that is, a procedure which must be perlornied right away to preserve life or the runcticn clan organ or body part) Vou (or your medical provider) should contact OWCP for authorization at least 30 days before the intended date of the procedure We Will advise you of the information needed to determine whether OWCP can authorize the requested procedure Medical providers should contact our medical authorization and bill processing contractor (A08) tor all authorizations and billing questions. Automated information is available 24 hours per day at 1-B66-335-8319 or online at l/owco dol.acsrinc com The medical authorization fax line is 1-800-2154901 it you, your physician, or other medical providers require direct contact with a customer service representative, you may call 1-844-493-1966, Monday -- Friday, Barn -- 8pm EST. It you have any questions regarding your claim, you may contact the Office at the phone number and address listed above. Note that you can also View your case and compensation claim status, billing updates including reimbursements, coverage limitations, and other information on line we the Claimant Query System (COS) at General inlormation can be obtained on the Depanment of Labor website at ir you have a disability (a substantially limiting physical or mental impairment), please contact our office/claims examlner tor lnlormation about the of help avallable, such as communlcalion assistance (artematc formats or sign language interpretation), accommodations and modifications. Fae Number." (DA-1008 (New -- Sincerely, .4 44 Dawn Dworak C'aims Exammer DEPARTMENT OF THE NAVY COMMANDER US PACIFIC FLEET-SHIPVARDS 1400 FARRAGUT AVENUE, BLDG 435, SR BREMERTON, WA 98314