Workers’ comp billing is complex, state-specific, and full of pitfalls for providers.

The best way to stay compliant and get quickly, accurately reimbursed is purpose-built workers’ comp billing software.

Below are a few more of the most common questions (and the clearest answers) about how software levels the playing field. See Part 1 here.

Q: Can daisyBill submit workers’ comp bills electronically if my state does not require e-billing?

Yes. daisyBill submits workers’ comp bills electronically in every state where electronic submission is technically possible, regardless of whether the state mandates e-billing.

e-Billing success is not driven by state regulation. It is driven by whether the payer can receive electronic bills, which most do through clearinghouses. Many payers accept e-bills even in states with no formal e-billing requirement because it reduces processing time and administrative costs.

daisyBill routes bills electronically whenever the payer supports it and defaults to the most compliant delivery method available when they do not.

Q: Which states require e-billing for workers’ comp medical bills?

Workers’ comp e-billing requirements vary by state. Some states require providers to submit medical bills electronically. Others require payers to accept e-bills while allowing providers to choose how they submit. Many states also include exceptions based on practice size, bill volume, or documented hardship. Some states exempt certain kinds of payers, such as self-insured employers, from requirements to accept e-bills.

States where providers are required to e-bill

In these states, medical providers must submit workers’ comp bills electronically, subject to limited statutory or regulatory exceptions:

• TX
• NY
• NC
• NJ
• VA
• TN
• MN

CO will require provider e-billing beginning in 2026.

States where payers are required to accept e-bills

In these states, payers must accept electronic medical bills. Provider e-billing is permitted but not mandatory:

• CA
• IL
• OR
• LA

Important exceptions

Even in states with mandatory provider e-billing, exemptions may apply for small practices, low billing volume, or demonstrable financial or technical hardship. Likewise, payer acceptance requirements may not apply uniformly to all payer types, such as self-insured employers or public entities.

Because requirements differ by state and payer, daisyBill does not rely solely on mandates. The platform applies state-specific rules automatically and submits each bill in the format required or accepted by that payer.

Q What happens if a workers’ comp payer does not accept electronic bills?

If a payer does not accept electronic bills, daisyBill still submits the bill using the payer’s required method.

The system identifies whether the payer accepts e-bills directly, through a clearinghouse, or not at all. When electronic submission is not supported, daisyBill generates and sends a compliant bill via an alternative method with the correct forms, documentation, and delivery tracking.

Providers do not need to manage separate workflows. daisyBill handles electronic and paper billing within the same platform and ensures every bill is submitted in the most effective and compliant way available for that payer.

Stay tuned. We’ll drop more FAQs soon.

daisyBill makes workers’ comp billing easier, faster, and better for revenue. Click below to learn more:

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