Do insurers and self-insurers have to send all bills to the Industrial Commission?
No, they do not. Insurers and self-insurers may pay the following bills without submitting them to the Industrial Commission for approval. • Medical Travel bills (the mileage rate increased to $.55 per mile, effective 27 January 2009). • Minor medical bills of $2,000 or less. • Pharmacy bills—pay in full or per agreement. • Ambulance bills—pay in full or per agreement. • Out-of-state claims or providers—pay in full or per agreement or by your state’s fee schedule. • Private-duty-nursing bills—pay in full or per agreement. • Nursing-home bills (per agreement with nursing home). • Pain-clinic bills (per agreement with pain clinic). • Industrial rehabilitation bills for “work hardening programs” and “psychological services” (per agreement with service provider). • Rehabilitation nurse bills—pay in full or per agreement (per Industrial Commission rule effective January 1, 1993). Please send a copy of these bills, with the I.C. Number indicated, to the Industrial Commission for its files. I
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