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Nevada Billing Guide

Last update
June 12, 2020

This Billing Guide outlines Nevada’s workers' compensation billing requirements and DaisyBill’s resources on how to file compliant medical bills.

Billing Form Requirements

This index is a guide to DaisyBill's resources on the required forms for compliant paper and electronic workers’ comp billing in Nevada.

Forms

Services

DaisyBill Resources

CMS-1500*

Physician Services

CMS-1500 Instructions

UB-04*

Facility

Not Specified

Pharmacy

Not Specified

Dental

*Recommended but not required

State-Mandated Physician Reporting Requirement

This table is a guide to DaisyBill's resources on the reporting forms required for compliant workers’ comp medical billing in Nevada.

Service

Attachment Description

Number of Days until Due

 Form Link

Initial Services

Report of Initial Treatment

3 working days after treatment

C-4 Employee's Claim for Compensation

Subsequent Services

Certification of Disability

No specific time specified

D-39 Physician's Progress Report

Electronic Billing Mandate

The Nevada Department of Industrial Relations 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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