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Claims Administrator: None

DaisyBill submits electronically to all compliant California claims administrators, but not every bill is paid by a claims administrator.  Some are paid directly by the attorney, employer, etc.  Select ‘None’ when you need to send a bill to an entity that is not a claims administrator.

Here’s how:

Step 1. From the Add / Edit Injury Page, click the ‘None’ checkbox next to the ‘Claims Administrator’ field

Step 2. Optional: for employer billing, complete the ‘Employer Address’ field on the Injury page

Add the claims administrator’s mailing address to populate box 0 on the CMS1500, fields 18-22 on the NCPDP form, or Field 38 on the UB-04. This information only needs to be added once.

Step 3. Optional: for non-employer billing, from the Injury Page, click ‘Add’ next ‘Contacts’

Add the claims administrator’s mailing address to populate box 0 on the CMS1500, fields 18-22 on the NCPDP form, or Field 38 on the UB-04. This information only needs to be added once. For more information, see this Help Article: Add / Edit / Delete Contacts.

Step 4. Enter the Bill, then click ‘Send’

Step 5. Choose Bill Submission Method and click ‘Send’

Via DaisyBill Mail - DaisyBill will print and mail your bill to the selected address (see Step 2 and 3 of this Help Article for how to add an address).  Depending on the number of pages in your Bill submission, there may be a surcharge for this service.  The surcharge, if applicable, will be displayed to you in this modal.

Fax - Select a Contact to fax to, or add a Custom Fax Number and Attention

Download - Download the complete bill as a pdf file to submit with any method you choose.  Select an address (see Step 2 and 3 of this Help Article for how to add an address) if one should appear on the bill.

That was easy!

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