How to bill workers' comp in California?

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To bill workers' compensation in California, adhere to CA Division of Workers' Compensation (DWC) regulations. Utilize standardized paper forms (CMS-1500, UB-04, ADA Dental Claim Form, NCPDP) or electronic submission.
Ensure accte completion of patient information, procedure codes (UBC, ICD), and supporting documentation (DLSR 5021, PR-2). Submit to the claims administrator or electronically via the DWC e-billing platform. Comply with billing and payment guidelines outlined in the DWC Medical Billing and Payment Guide.

Here is the list of some major workers compensation collections steps:

• Method: Paper or electronic.
• Forms: CMS-1500, UB-04/CMS-1450, ADA Dental, NCPDP WC/P&C.
• Data: Accte patient, provider, injury, service, and code info (ICD, CPT/HCPCS, UB-04).
• Submission: Directly to the claims administrator or via a clearinghouse.
• Compliance: Adhere to the DWC Medical Billing and Payment Guide.
• Electronic: Utilize the DWC e-billing platform for efficient processing.
• Payment: Expect delays, appeals, and potential audits.