ASK A QUESTION
Billing Guide

This Billing Guide outlines Montana’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 Montana.

Forms

Services

DaisyBill Resources

CMS-1500

Physician Services

Pathology / Laboratory

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 workers’ comp medical billing in Montana.

Service

Attachment Description

Number of Days until Due

 Form Link

Initial Visit

Medical Status Form

7 business days of the visit

Medical Status Form

Subsequent Visits

Medical Status Form

After each visit

Final Visit

Medical Status Form

Immediately at the end of total disability or when there is a return to work

Treatment Plan

No specific form

At the start of treatment

No specific form

Electronic Billing Mandate

The Montana Department of Industrial Relations 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

Stay up-to-date on the latest developments in Workers’ Compensation medical billing by subscribing to DaisyBill’s email list.

SIGN UP FOR EMAILS

Was this article helpful?

Search results for: