This Billing Guide outlines Georgia’s workers' compensation billing requirements and daisyBill’s resources for filing compliant electronic and paper 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 Georgia.
Forms |
Services |
daisyBill Resources |
CMS-1500 |
Physician Services Pathology / Laboratory |
|
UB-04 |
Facility |
|
NCPDP |
Pharmacy |
|
ADA |
Dental |
|
Professional |
Reporting Requirements
For a Complete Bill, Georgia requires providers to submit supporting documentation with a bill for services. The following table lists the types of attachments that may accompany a bill to fulfill this supporting documentation requirements.
Service |
Attachment Description |
Number of Days until Due |
Form Link |
Initial |
Medical Report |
7 days from initial treatment |
|
Interim |
Medical Report |
At least every three months |
|
Final |
Medical Report |
Upon discharge/when permanent partial disability is determined/or release to return to work |
E-Billing Mandate
The Georgia State Board of Workers’ Compensation has mandated that healthcare providers should file their bills electronically unless they meet certain exception criteria. Rule 61 in the Board Rules and Regulations (PDF) requires that forms be filed with the Board electronically through ICMS or EDI, unless otherwise authorized.
Additional Billing Requirements
Rule 61 also stipulates that a worker should report an accident within 30 days or risk losing the right to receive compensation. Furthermore, all attachments “shall contain the employee’s name, date of injury, and Board claim number.”
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