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Billing Guide

Last update
November 21, 2022

This Billing Guide outlines Alabama’s workers' compensation billing requirements and daisyBill’s resources on how to file compliant medical bills.

Billing Form Requirements

This table is a guide to daisyBill's resources on the required forms for compliant paper and electronic workers’ comp billing in Alabama.

Forms

Services

daisyBill Resources

CMS-1500

Physician Services

Pathology / Laboratory

DME

PT / OT

CMS-1500 Instructions

UB-04

Facility – Outpatient

Facility – Inpatient

NCPDP

Pharmacy

ADA

Dental

State-Mandated Physician Reporting Requirements

Alabama does not have rules requiring specific forms or reporting. Narrative reports may be required under specific circumstances:

  1. If a dispute arises as to the injury, or as to the extent of the disability therefrom, the court may, at the instance of either party or of its own motion, appoint a neutral physician of good standing and ability to make an examination of the injured employee and to report his or her findings to the court, the expense of which examination shall be borne equally by the parties.
    If the injured employee refuses to comply with a reasonable request for examination, or refuses to accept the medical service or physical rehabilitation, which the employer elects to furnish under this chapter, the employee's right to compensation shall be suspended and no compensation shall be payable for the period of the refusal.
  2. A physician whose services are furnished or paid for by the employer, or a physician of the injured employee who treats or makes or is present at any examination of an injured employee may be required to testify as to any knowledge obtained by him or her in the course of the treatment or examination as the treatment or examination related to the injury or the disability arising therefrom.
    The physician shall, upon written request of the injured employee or his or her employer and without consent of or notice to the employee or employer not making the request, furnish the injured employee or his or her employer a written statement of his or her professional opinion as to the extent of the injury and disability.

Electronic Billing Mandate

The Alabama Department of Labor has not issued electronic billing regulations or rules for medical bills. Accordingly, contact the payer to determine if workers’ comp bills can be submitted electronically.

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