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Department of Labor: Division of Industrial Affairs >> Office of Workers' Compensation

FEE SCHEDULE DATA & GUIDELINES

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The fee schedule was developed on behalf of the Delaware Office of Workers’ Compensation through a contract with OptumInsight, Inc. Because the fee schedule includes data that is proprietary to OptumInsight, certain restrictions apply. These restrictions are set out below.

READ THIS AGREEMENT CAREFULLY. CLICKING “I ACCEPT” AND ACCESSING THE DATA ACKNOWLEDGES YOUR ACCEPTANCE OF THE TERMS BELOW, WHICH APPLY TO ALL OF THE MATERIALS CONTAINED HEREIN. You are referred to below as “User.”

LICENSE & RESTRICTIONS. OptumInsight grants to User a nonexclusive, nontransferable license to use the OptumInsight data contained on this site (“the Data”) only for purposes of determining the appropriate fee to charge or pay for health care services provided pursuant to the Delaware workers’ compensation system. User may not sublicense, assign, or transfer the license or the Data to any third party. User may NOT use the Data on any public computer based medical information system, or publish, translate, decompile, disassemble, or create any derivative work based on the Data.

User understands that the Data are intended to be a fee schedule and not a stated or implied “reasonable and customary” charge. The Data is provided as-is. OptumInsight PROVIDES THE DATA WITHOUT WARRANTY OF ANY KIND, AND DISCLAIMS ALL WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.

DATA PROTECTION. United States and international copyright laws protect this Data, accompanying documentation and file contents. User acknowledges that the Data and the process and technologies included therein are valuable assets, trade secrets, and/or copyrighted material of OptumInsight and that OptumInsight retains title to the Data.

CPT codes and two-digit modifiers maintained in the Data are Copyright 2023 (or other such date of publication of CPT as defined by US copyright laws) the American Medical Association.

U.S. GOVERNMENT RIGHTS. The Data include CPT which is commercial technical data and/or computer databases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 N. State Street, Chicago, IL 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer databases and/or commercial computer software and/or commercial computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(3) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.

By clicking “I ACCEPT” below, User acknowledges that User has read this Agreement, understands it and agrees to be bound by its terms and conditions.

© 2024 OptumInsight, Inc.

        
 
Last Updated: 4/5/2024
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