“Complete electronic medical bill” means a medical bill that meets all of the following criteria: (1) it is submitted
in the correct uniform billing format, with the correct uniform billing code sets,
transmitted in compliance with the guidelines; (2) the bill and electronic attachments
provide all information required pursuant to this act; and (3) the health care provider,
its billing representative, or any company that has purchased the rights to pursue
its bill has provided all information that the employer, employer's insurance carrier,
or workers' compensation third party administrator requested.
“Electronic bill” means a communication between computerized data exchange systems that complies with
the guidelines enumerated.
“Guidelines” means the format established by the Commissioner of Labor and Workforce Development
in consultation with the Commissioner of Banking and Insurance pursuant to this act,
which shall be based upon the International Association of Industrial Accident Boards
and Commissions (IAIABC) Workers' Compensation Electronic Medical Billing Rule and
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.
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