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Article 5.5.0. Rules for Medical Treatment Billing and Payment on or After October 15, 2011 | Midpage
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California Code of Regulations
Title 8
Division 1. Department of Industrial Relations
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
Article 5.5.0. Rules for Medical Treatment Billing and Payment on or After October 15, 2011
State of California
9792.5.0
Definitions.
9792.5.1
Medical Billing and Payment Guide; Electronic Medical Billing and Payment Companion Guide; Various Implementation Guides.
9792.5.2
Standardized Medical Treatment Billing Forms/Formats, Billing Rules, Requirements for Completing and Submitting Form CMS 1500, Form CMS 1450 (or UB-04), American Dental Association Form, Version 2006, NCPDP Workers' Compensation / Property & Casualty Universal Claim Form, Payment Requirements.
9792.5.3
Medical Treatment Bill Payment Rules.
9792.5.4
Second Review and Independent Bill Review -- Definitions.
9792.5.5
Second Review of Medical Treatment Bill or Medical-Legal Bill.
9792.5.6
Provider's Request for Second Bill Review--Form.
9792.5.7
Requesting Independent Bill Review.
9792.5.8
Request for Independent Bill Review Form.
9792.5.9
Initial Review and Assignment of Request for Independent Bill Review to IBRO.
9792.5.10
Independent Bill Review -- Document Filing.
9792.5.11
Withdrawal of Independent Bill Review.
9792.5.12
Independent Bill Review -- Consolidation or Separation of Requests.
9792.5.13
Independent Bill Review -- Review.
9792.5.14
Independent Bill Review -- Determination.
9792.5.15
Independent Bill Review -- Implementation of Determination and Appeal.