This Billing Guide outlines the workers’ compensation billing requirements for Arkansas.
Billing Form Requirements
Forms |
Services |
daisyBill Resources |
CMS-1500* |
Physician Services |
|
UB-04 (UB-92 replacement) |
Facility |
|
No Form Specified |
Pharmacy |
|
No Form Specified |
Dental |
State-Mandated Physician Reporting Requirements
Arkansas requires the physician to submit the following reports to document injured worker status.
Document |
Due |
Form Link |
Initial Report |
When treatment commences |
|
Progress Report |
Every 60 days |
|
Final Report |
When the patient is released |
Electronic Billing Mandate
The Arkansas Workers’ Compensation Commission 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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