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Billing Guide

Last update
June 24, 2019

This Billing Guide outlines Oregon”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 Oregon.

Forms

Services

DaisyBill Resources

CMS-1500 (HCFA)

Physician Services

CMS-1500 Instructions

UB-04

Facility

NCPDP

Pharmacy

ADA

Dental

State-Mandated Reporting Requirements

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

Attachment Description

Number of Days until Due

 Form Link

Workers and Health Care Provider’s Report for Workers’ Comp Claims

Not specified

Form 827

Electronic Billing Mandate

The Oregon Workers' Compensation Division regulates e-billing in the state with its Electronic Medical Billing Rules. Healthcare providers in the state have the option of filing either electronic bills or paper forms.

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