This Billing Guide outlines Washington’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 Washington.
Forms |
Services |
daisyBill Resources |
CMS-1500 (HCFA) |
Physicians, Osteopaths, Advanced Registered Nurse Practitioners, Chiropractors, Naturopaths, Podiatrists, Psychologists, and Registered Physical Therapists; Inpatient – Hospitals |
|
UB-04 |
Outpatient – Hospitals |
|
NCPDP |
Pharmacy |
|
ADA |
Dental |
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 Washington.
Attachment Description |
Number of Days until Due |
Form Link |
Provider's Initial Report (PIR) |
Within 5 days of initial visit |
|
Report of Accident (ROA) Workplace Injury, Accident or Occupational Disease |
Within 5 days of initial visit |
Report of Accident (ROA) Workplace Injury, Accident or Occupational Disease |
Electronic Billing Mandate
The Washington State Department of Labor & 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.
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