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Billing Guide

This Billing Guide outlines Kentucky’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 Kentucky.

Forms

Services

DaisyBill Resources

CMS-1500

Physician Services

Pathology / Laboratory

CMS-1500 Instructions

UB-04

Facility

Pharmacy

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 Kentucky.

Service

Attachment Description

Number of Days until Due

 Form Link

Treatment

Treatment Plan

Seven (7) days in advance of an elective surgical procedure or placement into a resident work hardening, pain management, or medical rehabilitation program. In all other instances when a treatment plan is required, a copy of the treatment plan shall be provided within fifteen (15) days following a request by the medical payment obligor. An amendment, supplement, or change to a treatment plan shall be furnished within fifteen (15) days following a request.

No Specific Form

Electronic Billing Mandate

The Kentucky Department of Workers’ Claims 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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