Welcome
We are pleased with the recent partnership between North American Health Care, Inc. and Athens Administrators. It is our goal to make your transition as smooth and seamless as possible. For your convenience, we have tailored your website to have valuable information needed for claims reporting, obtaining information such as state mandated reporting requirements, forms and all the information you will need to communicate this transition to your employees.
On behalf of your Athens Claims Team we are committed to work together in providing you with all the tools and information you need to manage your workers’ compensation program.
If you need any further assistance or have questions, please feel free to contact us via the Contact tab above.
Regards,
Athens Administrators
Report a Claim
Please report all claims to:
| Athens Triage | |
| Phone: | (844) 332-5239 |
| Support: | Mike Marin |
| Email: | mmarin@athensadmin.com |
| Mail: | P.O. Box 696, Concord, CA 94522 |
Medical Provider Network (MPN)
The North American Health Care, Inc. Medical Provider Network (MPN) provides a group of healthcare providers to treat work-related injuries and illnesses. Click below to access the MPN.
DWC Info
DWC Website for Injured Workers
DWC Info & Assistance Offices/Officers
MPN Contact
This person is responsible for responding to complaints, for answering employees’ questions about the Medical Provider Network and for assisting the employee in arranging for an MPN independent medical review pursuant to Labor Code section 4616.4
| Contact: | Leann Farlander |
| Phone: | (949) 296-3961 |
| Fax | (949) 484-4690 |
| Email: | lfarlander@athensmci.com |
| Mail: | P.O. BOX 696 |
| Concord, CA 94522 |
Forms
DWC-1:
Form for Injured Workers filing a workers’ compensation claim with your employer.
Form 5020:
Employers use this form to report occupational injury or illness.
Medical Service Order:
Workers’ Compensation Acknowledgement Form:
Accident Investigation Form
Employee Statement
Witness Statement
Workers’ Authorization for Release of Protected Health Information for Workers’ Compensation Purposes (HIPAA Compliant)
Claims Team
If you have any questions or concerns, please contact:
| Contact: | Lynn Thatsanaphonh |
| Senior Claims Examiner | |
| Phone | (949) 648-5855 |
| Email: | lthatsanaphonh@athensadmin.com |
| Contact: | Greg Ramirez |
| Claims Supervisor | |
| Phone | (949) 648-5843 |
| Email: | gramirez@athensadmin.com |
| Contact: | Doug Gibb |
| Division Claims Manager | |
| Phone | (949) 648-5856 |
| Email: | dgibb@athensadmin.com |
| Contact: | Mike Marin |
| Account Manager | |
| Phone | (949) 648-5880 |
| Email: | mmarin@athensadmin.com |
| Contact: | Joelean Beddingfield |
| Workers’ Compensation Manager | |
| North American Health Care, Inc. | |
| Address | 32836 Pacific Coast Hwy, Ste. 203 Dana Point, CA 92629 |
| Phone | (949) 373-8368 |
| Fax | (949) 373-0358 |
| jbeddingfield@nahci.com |