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Timely Payment

Payment on undisputed workers' compensation medical bills are due within 30 days of receipt in Wisconsin.

State

Wisconsin

Timely Payment

30 days

Administrative Code Department of Workforce Development

Menu»Administrative Rules Related»Administrative Code»Department of Workforce Development (DWD)»Chs. DWD 80-81; Worker’s Compensation; Mining Damage Claims»Chapter DWD 80 

Rule

DWD 80.72 Health service fee dispute resolution process. 

Rule Text

DWD 80.72 Health service fee dispute resolution

process.

(3) JUSTIFICATION OF DISPUTED FEES. (a) In a case where liability or the extent of disability is in dispute, an insurer or self−insured employer shall provide written notice of the dispute to the health care provider within 30 days after receiving a completed bill that clearly identifies the provider’s name, address and phone number; the patient–employee; the date of service; and the health service procedure, unless there is good cause for delay in providing notice. In a case where liability or the extent of disability is not in issue, and a health care provider charges a fee which an

insurer or self−insurer refuses to pay because it is more than the formula amount, the insurer or self−insurer shall, except as provided in sub. (6) (b), mail or deliver written notice to the provider within 30 days after receiving a completed bill which clearly identifies the provider’s name, address and phone number; the patient−employe; the date of service; the health service procedure; and the amount charged for each procedure.

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