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Billing Guide

Last update
June 13, 2019

This Billing Guide outlines Tennessee’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 Tennessee.

Forms

Services

DaisyBill Resources

CMS-1500 (HCFA)

Provider Services

CMS-1500 Instructions

UB-04

Inpatient – Hospital

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 Tennessee.

Attachment Description

 Form Link

Number of Days until Due

DaisyBill Resource

Medical Report For Industrial Injuries

None specified

Within 30 calendar days after initial examination and at intervals not to exceed 60 calendar days while undergoing treatment

Medical Report Instructions

Final Medical Report

C-30A

Within 21 calendar days of injured worker reaching Maximum Medical Improvement (MMI)

Final Medical Report Instructions

Electronic Billing Mandate

The Tennessee Department of Labor and Workforce Development requires e-billing for medical bills with few exceptions. All providers and carriers shall use electronic billing and EDI, if they have the capability to do so. All such communications shall comply with all applicable Medicare and HIPAA requirements. For more information see Tennessee Electronic Billing and Payment Companion Guide.

DaisyBill Solution

Thousands of workers’ comp professionals use DaisyBill’s Revenue Cycle Management software to compliantly process electronic bills. To learn more, schedule a no-pressure demo with one of our billing experts.

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