This Billing Guide outlines the workers’ compensation billing requirements for Delaware.
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 Delaware.
Forms |
Services |
DaisyBill Resources |
CMS-1500 |
Physician Services Pathology / Laboratory Dispensed Pharmaceuticals Durable Medical Equipment |
|
UB-04 |
Facility Services |
|
Not Specified |
Pharmacy |
|
Not Specified |
Dental |
State-Mandated Physician Reporting Requirements
Delaware requires the physician to submit the following reports to document injured worker status.
Service |
Attachment Description |
Number of Days until Due after Date of Service |
Form Link |
Initial Report |
Physician’s Report |
10 days from evaluation |
|
Subsequent Report |
Physician’s Progress Report |
10 days from a material change in status |
|
Closing Report |
Final Physician’ Report |
10 days from discharge |
Electronic Billing Mandate
Delaware 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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