This Billing Guide outlines the workers’ compensation billing requirements for Alaska.
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 Alaska.
Forms |
Services |
daisyBill Resources |
CMS-1500* |
Physician Services Pathology / Laboratory DME |
|
UB-04 |
Facility |
|
No Form Specified |
Pharmacy |
|
No Form Specified |
Dental |
*Recommended, but not required
State-Mandated Physician Reporting Requirements
For a complete bill, Alaska requires providers to submit supporting documentation with a bill for services. The following table lists the types of attachments that may accompany a bill to fulfill this supporting documentation requirements.
Attachment Description |
Number of Days until Due after Date of Service |
Form Link |
Physician’s Report |
14 calendar days |
|
A Written Treatment Plan |
14 calendar days from start of treatment |
No Specific Form |
Electronic Billing Mandate
The Alaska Division of Workers’ Compensation 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.
Important Resources
2023 Alaska DWC Official Medical Fee Schedule
The Alaska OMFS provides guidelines and the methodology for calculating rates for services.
Section 23.30.097 Fees for Medical Treatment and Services
This section of the 2018 Alaska Statutes outlines the regulations for medical treatment.
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