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Should a medical provider send bills to the employer or the payor?

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Should a medical provider send bills to the employer or the payor?

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Throughout the Illinois Workers’ Compensation Act, there are many references to the employer where, in practice, the payor (an insurer or third party administrator) assumes responsibility for the employer. Section 6(b), for example, says the employer shall file accident reports, but the payor usually files them on the employer’s behalf. The payor is understood to stand in the shoes of the employer. Nothing in the new law changes this. A safe policy, therefore, would be for a provider to submit the bill to the payor, when known. Another option would be to submit the bill to both the employer and the payor.

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