- (1) Facility bills must be submitted on a UB04 when the injured worker is discharged from the facility or every 30 days.
- (2) The providers and payers shall use, when possible, electronic billing for the billing and reimbursement process.
- (3) It is the responsibility of the facility to use the proper service codes on any bills submitted for payment.
- (4) Insurer-initiated medical necessity review, bill audits, and other administrative review procedures may only be conducted on a post-payment basis.
Authorizing statute(s): 39-71-203, MCA
Implementing statute(s): 39-71-105, 39-71-107, 39-71-203, 39-71-704, MCA
History: Eff. 12/31/72; AMD, 2008 MAR p. 2490, Eff. 12/1/08; AMD, 2011 MAR p. 1137, Eff. 6/24/11; AMD, 2013 MAR p. 1185, Eff 7/12/13; AMD, 2024 MAR p. 1457, Eff. 7/1/24.