Dept. of Industrial Relations logo

e-billing

California is one of the first three states in the country to provide for e-billing in workers’ compensation. The DWC has adopted new regulations for standardized paper billing forms and e-billing standards, which encourage both workers’ compensation insurers and medical providers to transition to e-billing. Implementation of e-billing will improve efficiency of the billing and remittance process and produce quicker bill payment.

Provisions relating to e-billing became effective Oct. 18, 2012. By statute, claims administrators are required to accept electronic bills and may develop their own capacity to accept electronic bills or may contract with a vendor to perform the function. Participation in e-billing is optional for medical providers.

Medical providers – including hospitals, doctors, pharmacists, and others who provide medical services and goods to injured workers – are increasingly recognizing the benefits of using electronic standards to send their bills to payers. In turn, claims administrators who complete the cycle by processing and paying those bills electronically are seeing efficiencies from streamlined processes.

Electronic billing regulations and guides

Effective Feb. 12, 2014:

Effective Jan. 1, 2013:

Effective Oct. 18, 2012:

Resources

September 2014