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Billing Guide

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

CMS-1500 Instructions

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

Physician's Report of Workers' Compensation Injury 

Subsequent Report

Physician’s Progress Report

10 days from a material change in status

Physician's Report of Workers' Compensation Injury

Closing Report

Final Physician’ Report

10 days from discharge

Physician's Report of Workers' Compensation Injury

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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