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Billing Guide

This Billing Guide outlines North Carolina’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 workers’ comp billing in North Carolina.

Forms

Services

DaisyBill Resources

CMS-1500 (HCFA)

Physician Services

CMS-1500 Instructions

UB-04

Facility

Not Specified

Pharmacy

Not Specified

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 North Carolina.

Attachment Description

Number of Days until Due

 Form Link

Medical Status Questionnaire

Upon Request

Medical Status Questionnaire

Electronic Billing Mandate

The North Carolina Department of Labor has mandated that healthcare providers in the state must file their bills electronically in accordance with the Electronic Billing Requirements.

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