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Timely Payment

Last update
March 18, 2019

Undisputed workers' compensation medical bills are due within 30 days of receipt in Vermont.

State

Vermont

Timely Payment

30 days

State or Administrative Code Name

RULE 40 – VERMONT’S MEDICAL FEE SCHEDULE 

Rule

WORKERS' COMPENSATION MEDICAL FEE SCHEDULE  

Rule Text

40.021 General Reimbursement Requirements (C) The employer/carrier shall pay the health care provider's charge or the maximum allowable payment under this fee schedule, whichever is less, within 30 days of receipt of the bill and legible, supporting documentation. If the claim is held for more than 30 days without payment, then the employer/carrier must notify the provider in writing as to the status of the claim. When payment for a procedure is denied, the employer/carrier must provide an "Explanation Of Benefits" (EOB)/Remittance Advice to the medical provider within 30 days of receipt of the bill. If the employer/carrier disagrees with the appropriateness of a procedure code billed, it shall request a hearing, in writing, before the Commissioner within 30 days of receipt of the bill. An employer/carrier may not change a billed procedure code unless the medical provider agrees.

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