This Billing Guide outlines Vermont’s workers' compensation billing requirements and daisyBill’s resources for filing compliant medical 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 Vermont.
Forms |
Services |
daisyBill Resources |
CMS-1500 (HCFA) |
Physician Services |
|
UB-04 |
Facility |
|
NCPDP |
Pharmacy |
|
ADA |
Dental |
|
Proprietary: [Form] |
[Services] |
[Form] Instructions |
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 Vermont.
Attachment Description |
Days until Due |
Form |
Health Care Provider Report |
None indicated |
Electronic Billing Mandate
The Vermont Department of Labor 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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