Since 2012, in California, it has been mandatory for workers’ comp claims administrators to accept electronic bills (e-bills) from providers for the treatment of injured workers.
The County of San Bernardino, a public self-insured employer, finally got the memo. San Bernardino established a working Electronic Data Interchange (EDI) connection through clearinghouse Data Dimensions, enabling the County to start accepting e-bills.
Billing specifics, as well as the details of our outreach to San Bernardino, are below.
As is too often necessary, daisyBill had to take action in the absence of regulatory enforcement by the California Division of Workers’ Compensation (DWC). Our representatives contacted San Bernardino to alert this public entity that it was not adhering to state law requiring it to accept bills sent electronically by providers.
On December 6, daisyBill emailed San Bernardino asking the obvious question: when will the County start following the law? In response, a San Bernardino representative reported that the County would be “discussing” and “looking into” a proper EDI connection.
Shortly thereafter, San Bernardino announced…a new mailing address for paper bills and a new bill review vendor, Medata. The announcement San Bernardino sent to providers is below—and does not mention e-billing.
Naturally, this was not the announcement daisyBill had hoped for.
However, December 17 brought better news: Data Dimensions announced a fully functioning EDI route for e-billing San Bernardino County. Accordingly, providers can e-bill the County through Data Dimensions with Payer ID WX306.
Of course, it is good news that San Bernardino County is finally in compliance and that California doctors treating County employees can now enjoy the benefits of e-billing, to which they are legally entitled.
However, more than a decade of non-compliance without consequences from the state is nothing to celebrate.
We cannot know how much impact daisyBill’s prodding of San Bernardino finally had on the County’s decision to comply. We all know that e-billing software vendors should not have to play the role of “compliance cops” while state regulators sit idle.
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