This Billing Guide outlines Hawaii’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 paper and electronic workers’ comp billing in Hawaii.
Forms |
Services |
DaisyBill Resources |
CMS-1500* |
Physician Services Pathology / Laboratory |
|
No Form Specified |
Facility |
|
No Form Specified |
Pharmacy |
|
No Form Specified |
Dental |
*Recommended by DaisyBill, but not required by state
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 Hawaii.
Service |
Attachment Description |
Number of Days until Due |
Form Link |
Initial Evaluation |
Physician’s Report |
7 days |
|
Interim Evaluation | |||
Final Evaluation | |||
Consultation |
Consultation Report |
14 days |
No Form |
Electronic Billing Mandate
Hawaii is a state with no requirements e-billing state. This means that healthcare providers in the state may have the option of filing either electronic bills or paper forms. Don’t worry, DaisyBill has you covered for both!
DaisyBill Solution
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