Welcome Letter

• Benchmark Welcome Letter

Benchmark Claims Kit

• Athens Claim Supply Request
• Benchmark Employee's Claim for Workers' Compensation DWC-1
• Benchmark Employee's First Report Of Injury Form 5020
• Benchmark DWC Notice to Employees Poster 7-11
• Benchmark Claims Kit Packet v3

Medical Provider Network Information

• Affidavit of MPN Distribution Implementation Notice
• Benchmark MPN Notification 7-11
• MPN Acknowledgement Form
• MPN Implementation Form

The attached link will allow you to look up a physician in the Benchmark MPN
Address: http://www.talispoint.com/medex/athens

Client ID: ATHER
Password: ATHER02

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