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Billing Guide

Last update
May 30, 2019

This Billing Guide outlines Maryland’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 Maryland.

Forms

Services

DaisyBill Resources

CMS-1500

Physician Services

Laboratory / Pathology

DME

CMS-1500 Instructions

UB-04

Facility

Not specified

Pharmacy

Not specified

Dental

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 Maryland.

Attachment Description

Number of Days until Due

 Form Link

Claim for Medical Services

Must accompany CMS 1500

Claim for Medical Services

Medical and Surgeon Report

72 hours after first treatment

Physician and Surgeons Report

Electronic Billing Mandate

Maryland’s 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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