Are bills processed for payment with a date of service on or after Sept. 22, 2006 required to be reported in the EDI medical billing data to the WCIS?
Yes, on or after Sept. 22, 2006, claims administrators handling 150 or more total claims per year shall submit to the WCIS on each claim with a date of injury on or after March 1, 2000 and for each bill with a date of service on or after Sept. 22, 2006, data elements listed in the CA EDI Implementation Guide (Medical Bill Payment Records) for all medical services for which the claims administrator has received a billing or other report of provided medical services.
Related Questions
- Can you please confirm that effective 9/22/06, any bill processed for payment with a date of service prior to 9/22/06 is not included in the EDI Medical Data Reporting to the DWC?
- I successfully submitted my claim/medical bill through ACS EDI Direct, but the payment has not been processed yet. How do I get a status update for the claim/medical bill?
- How can I sign up for Tbaytel’s online bill view and payment service or paperless bills?
