This Billing Guide outlines Pennsylvania’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 Pennsylvania.
Forms |
Services |
daisyBill Resources |
CMS-1500 (HCFA) |
Professional Services |
|
UB-04 |
Facility |
State-Mandated Physician 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 Pennsylvania.
Attachment Description |
Days until Due |
Form |
daisyBill Resources |
|
Workers’ Compensation Medical Report Form |
10 days after treating and at least once a month thereafter during treatment |
Electronic Billing Mandate
The Pennsylvania Department of Labor and Industry has not issued electronic billing regulations or rules for medical bills. Accordingly, contact the payer to determine if workers’ comp bills can be submitted electronically.
daisyBill Solution
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