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Billing Guide

Last update
June 28, 2019

This Billing Guide outlines Illinois’ 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 Illinois.

Forms

Services

DaisyBill Resources

CMS-1500

Professional Services

Pathology / Laboratory

CMS-1500 Instructions

UB-04

Facility Services

Not specified

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 Illinois.

Attachment Description

Days until Due

 Form

DaisyBill Resources

Electronic Billing Mandate

The Illinois Workers’ Compensation Commission regulates both electronic and paper medical billing in the state. Providers have the option of filing either electronic bills or paper forms.

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