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Billing Guide

This Billing Guide outlines Georgia’s workers' compensation billing requirements and DaisyBill’s resources for filing compliant electronic and paper 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 Georgia.

Forms

Services

DaisyBill Resources

CMS-1500

Physician Services

Pathology / Laboratory

CMS-1500 Instructions

UB-04

Facility

NCPDP

Pharmacy

ADA

Dental

WC-20a (PDF) 

Professional

Reporting Requirements

For a Complete Bill, Georgia requires providers to submit supporting documentation with a bill for services. The following table lists the types of attachments that may accompany a bill to fulfill this supporting documentation requirements.

Service

Attachment Description

Number of Days until Due

Form Link

Initial

Medical Report

7 days from initial treatment

WC-20a

Interim

Medical Report

At least every three months

WC-20a

Final

Medical Report

Upon discharge/when permanent partial disability is determined/or release to return to work

WC-20a

E-Billing Mandate

The Georgia State Board of Workers’ Compensation has mandated that healthcare providers should file their bills electronically unless they meet certain exception criteria. Rule 61 in the Board Rules and Regulations (PDF) requires that forms be filed with the Board electronically through ICMS or EDI, unless otherwise authorized.

Additional Billing Requirements

Rule 61 also stipulates that a worker should report an accident within 30 days or risk losing the right to receive compensation. Furthermore, all attachments “shall contain the employee’s name, date of injury, and Board claim number.”

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