Workers' compensation information system (WCIS)
Bill and Claim counts by Date of Service
The WCIS uses the JCN, Insurer FEIN and Claims Administrator Claim number to match medical bills with FROI/SROI claims. Data presented in these tables are for claims matched with a FROI/SROI claim. It does not include unmatched data.
Table 4.1 shows the count of claims on a bill by bill type and service date. Bills reported in HCFA/CMS 1500 are professional bills, those reported in UB92/04 are institutional bills, those reported in ADA Dental Claim Forms are dental bills, those reported in NCDP Workers' Compensation/Property & Casualty Universal Claim Form are dental bills while disputed bills with lump sum payments or settlements are reported as lien bills. Claim counts are the number of unique JCNs for the year and bill type.
| Table number | Table name |
|---|---|
| Table 4.1: | Number of Claims with Medical Bills by Date of Service and Bill Type |
Source: WCIS Medical Bill Payment Database as of June 2020
Table 4.2 shows the count of bills by bill type and service date. Bills reported in HCFA/CMS 1500 are professional bills, those reported in UB92/04 are institutional bills, those reported in ADA Dental Claim Forms are dental bills, those reported in NCDP Workers' Compensation/Property & Casualty Universal Claim Form are dental bills while disputed bills with lump sum payments or settlements are reported as lien bills.
| Table number | Table name |
|---|---|
| Table 4.2: | Number Bills by Date of Service and Bill Type |
Source: WCIS Medical Bill Payment Database as of June 2020
Medical billing reports, tables and papers
March 2021