Claims

One key component of containing the cost of workers' compensation is the active management of a claim once a workplace injury or illness has been reported. CompTrustAGC...Tennessee's service provider, Brentwood Services Adminstrators, Inc. works closely with the employer, employee and medical providers to make sure the employee receives the care they need while ensuring the cost of care is managed to the direct benefit of all employees. 

The services provided include:   

> Claim costs controlled through active management
> Contact with employer, employee physician within 24 hours of report
> Ongoing 3-point communications
> Utilization of a PPO Network tailored to contractors to reduce usual and customary charges
> Mandatory drug testing for injured employees
> Early-return-to-work encouraged
> Aggressive pursuit of fraudulent claims
> Third party recovery program
> Prescription drugs and medical equipment discount programs

 

Claim Forms

C-20 First Report of Injury
C-31 Medical Waiver and Consent (English)
C-31 Medical Waiver and Consent (Spanish)
C-41 Wage Statement
C-42 Agreement Between Employer/Employee Choice of Physicians (English)
C-42 Agreement Between Employer/Employee Choice of Physicians (Spanish) 
 

Contact Information

Dawn Trojan
Brentwood Services Administrators, Inc.
P.O. Box 1125
Brentwood, TN 37024

Telephone: 615-263-1300
Direct Dial: 615-712-2399
Toll Free: 800-524-0604
Facsimile: 615-263-1301

[email protected]