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Billing Guide

This Billing Guide outlines Louisiana’s workers' compensation billing requirements and DaisyBill’s resources on how to file 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 Louisiana.

Forms

Services

DaisyBill Resources

CMS-1500

Professional Services

CMS-1500 Instructions

UB-04

Facility

NCPDP

Pharmacy

ADA

Dental

Electronic Billing Mandate

The Louisiana Department of Insurance has not issued electronic billing regulations or rules for medical bills. Healthcare providers in the state have the option of filing either electronic bills or paper forms. Accordingly, contact the payer to determine if workers’ comp bills can be submitted electronically.

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