Billing tips
You can help ensure that the billing process goes smoothly by following these tips:
- Use the proper DWC billing form, making sure to complete all required fields.
- CMS-1500 for all physician services and ambulatory surgical services (using the instructions on the DWC-67)
- UB-04 for all facility charges, including hospital, inpatient and outpatient services, and home health services (using the instructions on the DWC-68)
- DWC-66 for all pharmacy services (this form includes the proper instructions)
- Make sure the bill is complete, per DWC Rule 133.1, before you submit it. See DWC Rule 133.210 for documentation requirements.
- Submit bills within 95 days of the date of service.
- Provide a valid state medical license number.
- Provide valid diagnosis codes (ICD-9 codes).
- Provide valid procedure codes.
- Provide valid NABP and FID numbers.
- Include modifiers for procedure codes when required.
- Include a physical address in Box 32 for ambulance bills.
- Use the required CPT codes from the current CPT code book.
Check bill status
To check the status of a claim or bill payment, click here, or call
(888) 53-CLAIM (532-5246). Be sure you have the following information:
- Injured worker's social security number
- Health care provider FEIN
- Date of service
