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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 ‘None’ checkbox

Step 2. Optional: For employer billing add Employer Address to the Injury page, then click ‘Save Changes’

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 Contact’

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 4. Enter Bill and click ‘Submit’

submit the bill print and mail.png

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

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 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 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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