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Electronic Billing Compliance for Claims Administrators

In California, electronic billing has been mandated for workers compensation medical bills since October 18th, 2012.  

For claims administrators, this means that you must compliantly accept and process electronic medical bills from providers who treat injured workers.

There are over 114 pages of electronic billing regulations dedicated to explaining how electronic billing is supposed to work in the painstaking and carefully crafted detail that is the signature of California's workers’ compensation regulations.  

Here are those 114 pages in three steps:

If you don't feel you have the capacity to complete these three steps without assistance, it is your right to hire an EDI Agent (i.e. a clearinghouse) to assist you in setting up electronic billing infrastructure.

If you want help with immediate compliance, contact DaisyBill.

Edited 6-26-15: deleted dead link