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Billing Guide

Last update
May 29, 2019

This Billing Guide outlines Michigan’s workers' compensation billing requirements and DaisyBill’s resources on how to file compliant medical bills.

Billing Form Requirements

This index is a guide to DaisyBill's resources on the required forms for compliant paper and electronic workers’ comp billing in Michigan.

Forms

Services

DaisyBill Resources

CMS-1500

Practitioner Services

Pathology / Laboratory

DME

Ambulance Services
Vision Services

Hearing Services

CMS-1500 Instructions

UB-04

Facility

Home Health Services

NCPDP

Pharmacy

ADA

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 Arizona.

Service

Attachment Description

Number of Days until Due

 Form Link

Physician Services

Provider’s Report of Claim

Optional

WC-117H

Electronic Billing Mandate

The Michigan Workers’ Compensation Agency 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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