Is third-party service provider information reportable medical data elements?
Yes. The billing provider information for DN528, DN629, DN630, and DN642 are reportable if the third-party billing provider is not the rendering provider. Q: In addition to each medical bill, a small amount is paid to a bill review company. This amount is not included in the billed amount but is added to the paid amount. Does the DWC want this amount to be reported? A: Yes. In general, overhead/administrative expenses are reportable in the SROI utilizing DN95, but not in the detailed medical bill payment reporting. The amount paid for bill review (administrative cost) should be attributed to each claim as a cost of administering the claim.
