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This article outlines Arizona’s workers’ compensation billing forms.
Billing Form Requirements
This table is a guide to the required forms for compliant paper and electronic workers’ comp billing in Arizona.
Forms |
Services |
CMS-1500 |
Physician Services Pathology / Laboratory DME PT / OT Radiology |
UB-04* |
Facility |
No Form Specified |
Pharmacy |
No Form Specified |
Dental |
*Recommended but not required
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