This Billing Guide outlines Missouri’s workers' compensation billing requirements and daisyBill’s resources on how to file 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 Missouri.
Forms |
Services |
daisyBill Resources |
CMS-1500* |
Physician Services Laboratory / Pathology DME |
|
UB-04* |
Facility |
|
NCPDP* |
Pharmacy |
|
ADA* |
Dental |
*Not required but recommended by daisyBill
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 Missouri.
Service |
Attachment Description |
Number of Days until Due |
Form Link |
Physician Services |
Medical Treatment Form |
Not specified |
Electronic Billing Mandate
The Missouri Division of Workers' Compensation 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.
daisyBill Solution
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