Worker's Compensation

Worker's Compensation is a specialized type of billing and requires additional fields for data entry

The information below covers the most common required fields but each insurance company has payer-specific guidelines.

Contact your Payer for their worker's compensation billing guidelines.

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Last Name, First Name, Address and Phone number
Patient's Date of Birth, and Sex
Continue entering Patient/Billing Provider information as required by your Payer

Note: The Patient SSN number has priority over the Patient Member ID. If both numbers are entered, only the SSN number will be exported.

Enter Patient SSN.

Enter the Employer Name in the Last Name field only. (For WC claims, the Employer is always the Subscriber)
DO NOT ENTER A FIRST NAME
Employer Address Information.
Select the Worker's Compensation Payer previously set up in the Payer Library.
Enter the Worker's Compensation claim number in the Insured ID Number field.
Enter the Employer Name in the Plan or Program Name field.
Patient Relationship to Insured is Other.
Select Claim Filing Indicator Workers Compensation Health Claim.

Enter Workers Comp Claim Number (Field may need to be added to the Grid using the Column Chooser)

Note: To add this information as default values, see Patient Information screen → Additional Claim Information → Initial Claim Values