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Chapter 4.5. Division of Workers' Compensation
Subchapter 1. Administrative Director--Administrative Rules
Article 5.5.0. RULES For Medical Treatment Billing and Payment on or After October 15, 2011

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9792.5.3. Medical Treatment Bill Payment Rules.

(a) On and after October 15, 2011, claims administrators shall conform to the payment, communication, penalty, and other provisions contained in the California Division of Workers' Compensation Medical Billing and Payment Guide, except that the provisions relating to the payment of electronic medical bills shall become effective on October 18, 2012. This subdivision does not apply to processing or payment of bills submitted before October 15, 2011.

(b) On and after October 18, 2012 claims administrators shall conform to the payment, communication, penalty, and other provisions contained in the California Division of Workers' Compensation Electronic Medical Billing and Payment Companion Guide.

Note: Authority cited: Sections 133, 4603.3, 4603.4, 4603.5 and 5307.3, Labor Code. Reference: Sections 4600, 4603.2, 4603.3 and 4603.4, Labor Code.

HISTORY

1. New section filed 4-18-2011; operative 4-18-2011 pursuant to Government Code section 11343.4 (Register 2011, No. 16).

2. Amendment of Note filed 12-31-2012 as an emergency; operative 1-1-2013 pursuant to Government Code section 11346.1(d) (Register 2013, No. 1). A Certificate of Compliance must be transmitted to OAL by 7-1-2013 or emergency language will be repealed by operation of law on the following day.


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