What is EC4 – NARR Form?

Patient > Billing > Quick Charge

On EC4-NARR form, following fields are auto-populated:

  1. WCB case number
  2. Carrier Case number
  3. WCB Auth number
  4. WCB Rating code
EC4-NARR

The link on the bottom right labeled Review Demographics and Billing Address shows the Provider Profile of the Rendering Provider on the associated charge in a popup.

Review Demographics and Billing Address