For a self-insured employer, what must be included in the claims file?

• A. Evidence of the employee's return to work
• B. Documentation of all payments made
• C. Records of all administrative changes
• D. Evidence of the overall health status of the employee

Answer: (B)

For a self-insured employer, including documentation of all payments made in the claims file is essential. This aspect serves multiple purposes: it ensures that there is a clear and accurate record of the financial transactions associated with the claim, helps in monitoring budgetary expenditures, and provides critical information for any financial audits or reviews. Proper documentation of payments also aids in assessing the overall cost-effectiveness of the self-insurance plan and can be invaluable in dispute resolutions or when evaluating future claims. Keeping thorough records of all payments demonstrates compliance with legal and regulatory requirements and supports transparency in the claims management process.