Medical billing resources
Appropriate billing forms:
UB 04 - hospital
ADA - dental
NCPDP - pharmacy
Chart notes or documentation to support services provided
The employer's workers' compensation insurer for the injured worker
If you do not have the insurer's address, or know who the insurer is for an employer, you can submit a request online or call WCD Employer Index at 503-947-7814.
Medical Fee Dispute Request
When a dispute about fees exists between a provider and an insurer, a provider, insurer, or injured worker may request review by the director. A request for review must be submitted to the director within 90 days of the date the aggrieved party knew or should have known that the dispute existed.
Questions? Contact us at 503-947-7606 or e-mail firstname.lastname@example.org.