The billing procedure for workers’ compensation consists of several phases, including verifying the authorized treatment, submitting the appropriate billing forms, and processing payment through the insurance carrier.
At Pain Management Center, Inc., our billing department is trained in the electronic submission of the CMS-1500 and related documentation required for workers’ compensation billing. Before submission, the billing department reviews the treatment charges and attached progress notes to help ensure that the services provided are related to the work injury and authorized under the treatment plan.
Services covered under workers’ compensation are not billed to the patient or their private health insurance. If a patient is seeking treatment unrelated to their workers’ compensation injury, they should contact our office at 213-387-4710 and press 0 for the operator to discuss further options.
Payment for unrelated or unauthorized services may be denied by the insurance carrier. In these cases, the patient is not responsible for payment for denied workers’ compensation treatment.