California

MPN

• Click here for Online Enrollment Verification
• Click for Print Enrollment Verification

Forms

• DWC-7 (Official notice as defined by the State)

Employment Notifications

• MPN Implementation Notice - English
• MPN Implementation Notice – Spanish
• Complete Written Employee Notification Re: Medical Provider Network – English
• Complete Written Employee Notification Re: Medical Provider Network – Spanish
• Employee Acknowledgement – English
• Employee Acknowledgement – Spanish

To view the providers in the MPN or to create the worksite poster:

1. Using your Internet Browser, go to http://www.coventrywcs.com
2. At the Client Login, select the First Health Portal Login. Your Employer/Client ID is USACS1.

For additional information visit the State of California’s website at: http://www.dir.ca.gov/dwc/MPN/DWC_MPN_Main.html