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Billing Guide

This Billing Guide outlines Mississippi’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 Mississippi.

Forms

Services

DaisyBill Resources

CMS-1500

Physician Services

Pathology / Laboratory

DME

Dispensed Pharmaceuticals

CMS-1500 Instructions

UB-04*

Facility

UB-04 Instructions

Not Specified

Pharmacy

Not Specified

Dental

*Not specifically 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 Mississippi.

Service

Attachment Description

Number of Days until Due after Date of Service

 Form Link

Initial Evaluation

Medical Report

20 days

MS WCC Medical Report (PDF)

Progress Report

Medical Report

20 days

Final Report

Medical Report

20 days

Electronic Billing Mandate

The Mississippi 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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